Individual provider Active NPI

Christine Marie O'Connor, RD

  • Registered Dietitian
  • Cincinnati, OH
National Provider Identifier
1639136567
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.3378 Issued in OH
Practice address
3333 Burnet Ave
MLC 5043
Cincinnati, OH 45229-3026
Phone
(513) 636-4211
Fax
(513) 636-5887
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 804238 OH
Registered Dietitian 133V00000X LD.3378 OH Primary

Addresses

Primary practice location

3333 Burnet Ave
MLC 5043
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave
MLC 5043
Cincinnati, OH 45229-3026
Phone (513) 636-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241210003368 OH Practitioner - Registered Dietitian Or Nutrition Professional 0941736243 Reassigns benefits to 1 organization
I20250206000307 KY Practitioner - Registered Dietitian Or Nutrition Professional 0941736243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy L
Ft Wright, KY 41011-2792
Phone (513) 272-0313

4440 Red Bank Rd
Suite 210
Cincinnati, OH 45227-2177
Phone (513) 366-4486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
804238OHMDRegistered Dietitian
LD.3378OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC CurrentSince Nov 25, 2024 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
Christ Hospital Medical Specialists LLC Past Accepting new patients
Jewish Hospital of Cincinnati, Inc. Past Accepting new patients

Locations

1955 Dixie Hwy
Ste L1
Ft Wright, KY 41011

1955 Dixie Hwy
#L
Ft Wright, KY 41011

2156 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 282-6700

2123 Auburn Ave
Cincinnati, OH 45219
Phone (513) 721-7373

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

4440 Red Bank Rd
Ste 210
Cincinnati, OH 45227
Phone (513) 484-1086

5885 Harrison Ave
Ste 3900
Cincinnati, OH 45248
Phone (513) 662-2500

2139 Auburn Ave
#49
Cincinnati, OH 45219

2139 Auburn Ave
#47
Cincinnati, OH 45219

6939 Cox Rd
Ste 270
Liberty Township, OH 45069

1171 State Route 28
Ste B100
Milford, OH 45150

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1639136567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "MLC 5043",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4211",
            "fax_number": "513-636-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "MLC 5043",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4211",
            "fax_number": "513-636-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "804238",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.3378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.