Active NPI
Karen Clifford, R.D., L.D.
- Registered Dietitian
- Concord TWP, OH
National Provider Identifier
1609239193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4715
- Practice address
- 7580 Auburn Rd
Physician Pavilion at Tripoint Suite 201
Concord TWP, OH 44077-9176 - Phone
- (440) 350-4511
- Fax
- (440) 375-8154
- NPI assigned
- Apr 1, 2016
- 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 | 4715 | OH | Primary |
Addresses
Primary practice location
7580 Auburn Rd
Physician Pavilion at Tripoint Suite 201
Concord TWP, OH 44077-9176
Mailing address
7580 Auburn Rd
Physician Pavilion at Tripoint Suite 201
Concord TWP, OH 44077-9176
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Health | Dietitian, Registered | Past | Accepting new patients |
| Lake Hospital System, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0febeb13-8e64-489b-8219-6b0ac5c29683/
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.
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1609239193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 AUBURN RD",
"address_2": "PHYSICIAN PAVILION AT TRIPOINT SUITE 201",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440779176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 AUBURN RD",
"address_2": "PHYSICIAN PAVILION AT TRIPOINT SUITE 201",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440779176",
"telephone_number": "440-350-4511",
"fax_number": "440-375-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "KAREN",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "4715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.