Individual provider Active NPI

Deborah Ann Miller Halvorson, RDN, LD

  • Registered Dietitian
  • Cincinnati, OH
National Provider Identifier
1609434190
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.7262 Issued in OH
Practice address
5397 Clover Leaf LN
Cincinnati, OH 45239-7616
Phone
(513) 316-3088
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.7262 OH Primary

Addresses

Primary practice location

5397 Clover Leaf LN
Cincinnati, OH 45239-7616

Mailing address

5397 Clover Leaf LN
Cincinnati, OH 45239-7616
Phone (513) 316-3088

Other names 1

  • Deborah Ann Halvorson Professional name

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

LicenseStateTypeSpecialty
LD.7262OHMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1609434190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 CLOVER LEAF LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397616",
            "telephone_number": "513-316-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 CLOVER LEAF LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397616",
            "telephone_number": "513-316-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER HALVORSON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.7262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HALVORSON",
            "middle_name": "ANN",
            "credential": "RDN, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.