Active NPI
Julie D'Annunzio, RD,LD
- Registered Dietitian
- Warren, OH
National Provider Identifier
1790082048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6197
- Practice address
- 667 Eastland Ave SE
Nutrition Services
Warren, OH 44484-4503 - Phone
- (330) 841-4144
- NPI assigned
- Feb 23, 2011
- 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 | 6197 | OH | Primary |
Addresses
Primary practice location
667 Eastland Ave SE
Nutrition Services
Warren, OH 44484-4503
Mailing address
667 Eastland Ave SE
Nutrition Services
Warren, OH 44484-4503
Phone (330) 841-4144
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6197 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1298419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1790082048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 EASTLAND AVE SE",
"address_2": "NUTRITION SERVICES",
"city": "WARREN",
"state": "OH",
"postal_code": "444844503",
"telephone_number": "330-841-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 EASTLAND AVE SE",
"address_2": "NUTRITION SERVICES",
"city": "WARREN",
"state": "OH",
"postal_code": "444844503",
"telephone_number": "330-841-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANNUNZIO",
"first_name": "JULIE",
"name_prefix": "Mrs.",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-23",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "6197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.