Active NPI
Ilana Wolfson, RD,LD
- Nutritionist
- Beachwood, OH
National Provider Identifier
1720407653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 866261
- Practice address
- 23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470 - Phone
- (216) 464-4243
- Fax
- (216) 595-8210
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 866261 | Primary |
Addresses
Primary practice location
23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470
Mailing address
23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470
Phone (216) 464-4243
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen F. Casper, PH.D. and Associates | Past | Accepting new patients |
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.
-
- Psychologist
- Beachwood, OH
- NPI 1558469957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1720407653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23250 CHAGRIN BLVD",
"address_2": "SUITE 425",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225470",
"telephone_number": "216-464-4243",
"fax_number": "216-595-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23250 CHAGRIN BLVD",
"address_2": "SUITE 425",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225470",
"telephone_number": "216-464-4243",
"fax_number": "216-595-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSON",
"first_name": "ILANA",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "866261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.