Individual provider Active NPI

Tara Vanderwerf-Meyerink, DCN, CNS, FDNP

  • Nutritionist
  • Grove City, OH
National Provider Identifier
1861272601
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND9552 Issued in FL
Practice address
1488 White Rd
Grove City, OH 43123-8997
Phone
(614) 570-9288
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X ND9552 FL Primary

Addresses

Primary practice location

1488 White Rd
Grove City, OH 43123-8997

Mailing address

1488 White Rd
Grove City, OH 43123-8997
Phone (614) 570-9288

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
ND9552FLMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1861272601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 WHITE RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238997",
            "telephone_number": "614-570-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 WHITE RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238997",
            "telephone_number": "614-570-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWERF-MEYERINK",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "DCN, CNS, FDNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND9552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.