Individual provider Active NPI

Holly Estes, M.S., RD, LD, CNSC

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1619400702
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.7080 Issued in OH
Practice address
453 W 10TH Ave
Atwell Hall 306
Columbus, OH 43210-2205
Phone
(614) 688-1755
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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.7080 OH Primary

Addresses

Primary practice location

453 W 10TH Ave
Atwell Hall 306
Columbus, OH 43210-2205

Mailing address

453 W 10TH Ave
Atwell Hall 306
Columbus, OH 43210-2205
Phone (614) 688-1755

Other names 1

  • Holly Estes Doetsch Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828001011 OH Practitioner - Registered Dietitian Or Nutrition Professional 6901178847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Nisonger Center CurrentSince Feb 12, 2024 Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

1581 Dodd Dr
Columbus, OH 43210
Phone (614) 293-2101

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1619400702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 W 10TH AVE",
            "address_2": "ATWELL HALL 306",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102205",
            "telephone_number": "614-688-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 W 10TH AVE",
            "address_2": "ATWELL HALL 306",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102205",
            "telephone_number": "614-688-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "HOLLY",
        "credential": "M.S., RD, LD, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "DOETSCH",
            "middle_name": "ESTES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.