Active NPI
Elizabeth Jo Siegmann, RDN, LD
- Registered Dietitian
- Lebanon, OH
National Provider Identifier
1598901142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5831
- Practice address
- 1721 Cedar Trace Dr
Lebanon, OH 45036-3902 - Phone
- (513) 341-6511
- NPI assigned
- Jan 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 5831 | OH | Primary |
Addresses
Primary practice location
1721 Cedar Trace Dr
Lebanon, OH 45036-3902
Mailing address
1721 Cedar Trace Dr
Lebanon, OH 45036-3902
Phone (513) 341-6511
Other names 1
- Elizabeth Jo Hedke
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5831 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Institute for Integrative Medicine, LLC | Dietitian, Registered | Past | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Past | Accepting new patients |
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.
-
- Specialist
- Cincinnati, OH
- NPI 1881752400
Dietitian, Registered
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1598901142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 CEDAR TRACE DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450363902",
"telephone_number": "513-341-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 CEDAR TRACE DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450363902",
"telephone_number": "513-341-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGMANN",
"first_name": "ELIZABETH",
"middle_name": "JO",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "5831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "HEDKE",
"middle_name": "JO",
"credential": "RD, LD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.