NPIMap

Organization Active NPI

Healthy Hearts Nutrition LLC

  • Health Service Clinic/Center
  • Yellow Springs, OH
National Provider Identifier
1609128784
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
6292 Issued in OH
Legal business name
HEALTHY HEARTS NUTRITION LLC
Practice address
4359 E Enon Rd
Yellow Springs, OH 45387-9708
Phone
(937) 206-1131
Fax
(937) 917-8048
NPI assigned
Oct 12, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Leslie Clem Edmunds, MPH, RD, LDNPI 1225307325
Title
Registered Dietitian
Phone
(937) 206-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121023000176 OH Part B Supplier - Clinic/Group Practice 3678723970 Receives reassigned benefits from 14 practitioners
Practice locations: Montgomery, OH; Upper Arlington, OH; Westerville, OH; Worthington, OH; Yellow Springs, OH

National Provider Directory

National Provider Directory

Locations

75 S High St
Dublin, OH 43017

14 E Main St
Ste 214
Springfield, OH 45502
Phone (937) 206-1131

477 Cooper Rd
Ste 320
Westerville, OH 43081
Phone (380) 201-3390

891 High St
Worthington, OH 43085
Phone (937) 206-1131

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 3262 OH
Health Service Clinic/Center 261QH0100X 6292 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

4359 E Enon Rd
Yellow Springs, OH 45387-9708

Mailing address

4549 Old Mill Rd
Springfield, OH 45502-9747
Phone (937) 206-1131

Other practice location 1

4549 Old Mill Rd
Springfield, OH 45502-9747
Phone (937) 206-1131

Other names 1

NPPES NPI Registry
  • Clem&Thyme Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609128784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 OLD MILL RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029747",
            "telephone_number": "937-206-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 E ENON RD",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453879708",
            "telephone_number": "937-206-1131",
            "fax_number": "937-917-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4549 Old Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455029747",
            "country_code": "US",
            "telephone_number": "937-206-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY HEARTS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "CLEM",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "937-206-1131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "3262",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "6292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clem&Thyme",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yellow Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.