Active NPI
Gianna Fasline, RD
- Registered Dietitian
- Canfield, OH
National Provider Identifier
1578617072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5803
- Practice address
- 3694 Starrs Centre Dr
Canfield, OH 44406-9514 - Phone
- (330) 702-1310
- Fax
- (330) 702-1344
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5803 | OH | Primary |
Addresses
Primary practice location
3694 Starrs Centre Dr
Canfield, OH 44406-9514
Mailing address
650 Hidden Ridge CT
#303
South Park, PA 15129-8997
Phone (330) 518-7671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5803 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Past | Accepting new patients | |
| Endocrinology Associates of Ohio, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19596/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578617072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HIDDEN RIDGE CT",
"address_2": "#303",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298997",
"telephone_number": "330-518-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3694 STARRS CENTRE DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069514",
"telephone_number": "330-702-1310",
"fax_number": "330-702-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASLINE",
"first_name": "GIANNA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "5803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.