Active NPI
Brenda B. Rendelman, R.D., L.D., C.D.E.
- Registered Dietitian
- Columbus, OH
National Provider Identifier
1760506208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD1667
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155704 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Alliance | Nutrition, Education | Current | Accepting new patients |
| Lifecare Alliance | Current | 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
- 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.
-
- Home Health Agency
- Columbus, OH
- NPI 1669429544
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.