Traci Ann Kleve, M.S, R.D., L.D.,CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

914164 Issued in OH

Practice address

2930 Roanoke St NW
Massillon, OH 44646-2846

Phone

(330) 338-2756

NPI assigned

Sep 24, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Traci Ann Harmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1780010660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 ROANOKE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462846",
            "telephone_number": "330-338-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 ROANOKE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462846",
            "telephone_number": "330-338-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEVE",
        "first_name": "TRACI",
        "middle_name": "ANN",
        "credential": "M.S, R.D., L.D.,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "914164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "HARMON",
            "middle_name": "ANN",
            "credential": "M.S.,R.D.,L.D.,C.D.E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.