Ann J Hornsby, MED, RD, LD, CDCES,

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

706826 Issued in OH

Practice address

4755 Hamilton Rd
Medina, OH 44256-8306

Phone

(216) 212-4028

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1760054118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 HAMILTON RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568306",
            "telephone_number": "216-212-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 HAMILTON RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568306",
            "telephone_number": "216-212-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "ANN",
        "middle_name": "J",
        "credential": "MED, RD, LD, CDCES,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OH",
            "license": "706826",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "706826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Medina",
            "affiliation": "Y",
            "endpointDescription": "office",
            "affiliationName": "Collaboration Station",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4614 Prospect Ave Ste 325",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441034377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqulyn Ann Holton
• Tiffini Christine Holton
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• Kiana Kehaulani Hoohuli
• Victoria M Hopkins
• Brenna Horvath
• Elizabeth Ann Hosek, M.A. CCC,SLP
• Hospice of Medina County
• Katlyn Eva Hotz
• Gail R. Houk, LPCC -S

• Registered Dietitian in Medina, OH
• Providers in Medina, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.