Active NPI
Valerie M Poirier, R.D., L.D.
- Registered Dietitian
- Berea, OH
National Provider Identifier
1821428582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 5588
- Practice address
- 124 Fuller St
Berea, OH 44017-2139 - Phone
- (216) 469-3001
- NPI assigned
- Nov 17, 2013
- Last updated
- Nov 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | LD 5588 | OH | Primary |
Addresses
Primary practice location
124 Fuller St
Berea, OH 44017-2139
Mailing address
124 Fuller St
Berea, OH 44017-2139
Phone (216) 469-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002971 | Other | OH | OHIO DEPARTMENT OF HEALTH - BUREAU FOR CHILDREN WITH MEDICAL HANDICAPS |
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 |
|---|---|---|---|
| LD 5588 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384646400000",
"number": "1821428582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 FULLER ST",
"city": "BEREA",
"state": "OH",
"postal_code": "440172139",
"telephone_number": "216-469-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 FULLER ST",
"city": "BEREA",
"state": "OH",
"postal_code": "440172139",
"telephone_number": "216-469-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POIRIER",
"first_name": "VALERIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-17",
"last_updated": "2013-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD 5588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPARTMENT OF HEALTH - BUREAU FOR CHILDREN WITH MEDICAL HANDICAPS",
"identifier": "1002971",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.