Active NPI
Marti Jacobson, RDN, LD
- Registered Dietitian
- Westlake, OH
National Provider Identifier
1760136212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 24500 Center Ridge Rd Ste 265
Westlake, OH 44145-5602 - Phone
- (216) 395-4118
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
24500 Center Ridge Rd Ste 265
Westlake, OH 44145-5602
Mailing address
17330 Old Tannery TRL
Chagrin Falls, OH 44023-2120
Phone (440) 622-6278
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 |
|---|---|---|---|
| Kristen Murray Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
24500 Center Ridge Rd
Ste 265
Westlake, OH 44145
Phone (216) 395-4118
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": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1760136212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17330 OLD TANNERY TRL",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440232120",
"telephone_number": "440-622-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24500 CENTER RIDGE RD STE 265",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455602",
"telephone_number": "216-395-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "MARTI",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.