Individual provider Active NPI

Lyanna Eva Seesholtz, LD,RD

  • Registered Dietitian
  • Canal Winchester, OH
National Provider Identifier
1609750017
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.11091 Issued in OH
Practice address
5688 Winchester Pike
Canal Winchester, OH 43110-9725
Phone
(614) 373-0549
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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.11091 OH Primary

Addresses

Primary practice location

5688 Winchester Pike
Canal Winchester, OH 43110-9725

Mailing address

5688 Winchester Pike
Canal Winchester, OH 43110-9725
Phone (614) 373-0549

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.11091OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1609750017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5688 WINCHESTER PIKE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109725",
            "telephone_number": "614-373-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5688 WINCHESTER PIKE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109725",
            "telephone_number": "614-373-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEESHOLTZ",
        "first_name": "LYANNA",
        "middle_name": "EVA",
        "credential": "LD,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.11091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.