Sandra Minnick Oliverio, MS, RD, CD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

37000553A Issued in IN

Practice address

2325 18TH St
Suite 210
Columbus, IN 47201-5388

Phone

(812) 375-0272

Fax

(812) 375-1093

NPI assigned

Jun 26, 2013

Last updated

Jun 26, 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

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1912347717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 18TH ST",
            "address_2": "SUITE 210",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015388",
            "telephone_number": "812-375-0272",
            "fax_number": "812-375-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 18TH ST",
            "address_2": "SUITE 210",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015388",
            "telephone_number": "812-375-0272",
            "fax_number": "812-375-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "SANDRA",
        "middle_name": "MINNICK",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IN",
            "license": "37000553A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renal Nutrition Registered Dietitian in Columbus, IN
• Providers in Columbus, IN by specialty
• Renal Nutrition Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.