Individual provider Active NPI

Kelli Alisa Fischer, MFN, RD, LD

  • Registered Dietitian
  • Toledo, OH
National Provider Identifier
1649744137
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.08370 Issued in OH
Practice address
2142 N Cove Blvd FL 1
Toledo, OH 43606-3895
Phone
(419) 291-8546
Fax
(419) 479-3285
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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.08370 OH Primary

Addresses

Primary practice location

2142 N Cove Blvd FL 1
Toledo, OH 43606-3895

Mailing address

14380 Cuckle Creek Rd
Bowling Green, OH 43402-9550

Other practice location 1

14380 Cuckle Creek Rd
Bowling Green, OH 43402-9550
Phone (419) 494-1697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126002688 OH Practitioner - Registered Dietitian Or Nutrition Professional 5193196319 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LD.08370OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
The Toledo Hospital CurrentSince Oct 18, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2022 Accepting new patients
The Toledo Hospital CurrentSince Oct 18, 2022 Accepting new patients

Locations

2142 N Cove Blvd
Fl 3
Toledo, OH 43606
Phone (419) 291-3604

2142 N Cove Blvd
Fl 1
Toledo, OH 43606
Phone (419) 291-1111

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 6

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1649744137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14380 CUCKLE CREEK RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD FL 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-8546",
            "fax_number": "419-479-3285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14380 Cuckle Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434029550",
            "country_code": "US",
            "telephone_number": "419-494-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KELLI",
        "middle_name": "ALISA",
        "credential": "MFN, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.