Individual provider Active NPI

Carly Rae McGeehan, RD, LD

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1780126847
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD7960 Issued in OH
Practice address
5202 Bethel Reed Park Ste 100
Columbus, OH 43220-1818
Phone
(614) 447-9495
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD7960 OH Primary

Addresses

Primary practice location

5202 Bethel Reed Park Ste 100
Columbus, OH 43220-1818

Mailing address

5202 Bethel Reed Park Ste 100
Columbus, OH 43220-1818
Phone (614) 447-9495

Other identifiers 2

IdentifierTypeStateIssuer
LD7960OtherOHTHE OHIO BOARD OF DIETETICS
86041140OtherCOMMISSION ON DIETETIC REGISTRATION - ACADEMY OF NUTRITION AND DIETETICS

Other names 1

  • Carly Rae Yanni Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1780126847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEEHAN",
        "first_name": "CARLY",
        "middle_name": "RAE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD7960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE OHIO BOARD OF DIETETICS",
            "identifier": "LD7960",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION - ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "86041140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "YANNI",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 12, 2020; 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.