Individual provider Active NPI

Brenda B. Rendelman, R.D., L.D., C.D.E.

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1760506208
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD1667 Issued in OH
Practice address
1699 W Mound St
Columbus, OH 43223-1855
Phone
(614) 437-2876
Fax
(614) 278-3143
NPI assigned
Mar 19, 2007
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 535978 OH
Registered Dietitian 133V00000X LD1667 OH Primary

Addresses

Primary practice location

1699 W Mound St
Columbus, OH 43223-1855

Mailing address

1699 W Mound St
Columbus, OH 43223-1855
Phone (614) 437-2876

Other identifiers 1

IdentifierTypeStateIssuer
0155704MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000400 OH Practitioner - Registered Dietitian Or Nutrition Professional 0648446229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecare AllianceGroup PAC ID 3274558713, 13 clinicians

Practice addresses (Care Compare)

1699 W Mound St
Columbus, OH 43223-1809
Phone (614) 437-2876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Alliance Nutrition, Education CurrentSince Jan 1, 2018 Accepting new patients
Lifecare Alliance CurrentSince Jan 1, 2018 Accepting new patients

Locations

1100 Dennison Ave
Columbus, OH 43201
Phone (614) 884-4400

1699 W Mound St
Columbus, OH 43223
Phone (614) 278-3130

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1760506208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 W MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231855",
            "telephone_number": "614-437-2876",
            "fax_number": "614-278-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 W MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231855",
            "telephone_number": "614-437-2876",
            "fax_number": "614-278-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDELMAN",
        "first_name": "BRENDA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "R.D., L.D., C.D.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-07-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "535978",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD1667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155704",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.