| Siera Jade Holley, MS, RDN, LD | |
|
920 N Hamilton Rd Fl 3, Gahanna, OH 43230-1757 | |
| (614) 293-5123 | |
| (614) 293-4980 |
| Full Name | Siera Jade Holley |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 920 N Hamilton Rd Fl 3, Gahanna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306456363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 7787 (Ohio) | Primary |
| Provider Name | Osu Family Practice Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659339653 PECOS PAC ID: 9032023874 Enrollment ID: O20031117000511 |
| Provider Name | Osu General Internal Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Siera Jade Holley, MS, RDN, LD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-5123 | Siera Jade Holley, MS, RDN, LD 920 N Hamilton Rd Fl 3, Gahanna, OH 43230-1757 Ph: (614) 293-5123 |
Caitlin Rizzo, MDN, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 920 N Hamilton Rd, Gahanna, OH 43230 Phone: 614-293-5123 | |
Central Ohio Nutrition Center, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 648 Taylor Rd, Gahanna, OH 43230 Phone: 614-864-7225 Fax: 614-626-8335 | |
Alexa Mcconnell Robinson-o'neill, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 648 Taylor Rd, Gahanna, OH 43230 Phone: 614-864-7225 Fax: 614-626-8335 | |
Jennifer E Thompson, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 648 Taylor Rd, Gahanna, OH 43230 Phone: 614-864-7225 Fax: 614-626-8335 | |
Michal Lynn Hogan, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 295 Sumption Dr, Gahanna, OH 43230 Phone: 614-476-8782 Fax: 215-895-9921 | |
Judy Loper, PHD, R.D;, L.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 648 Taylor Rd, Gahanna, OH 43230 Phone: 614-864-7225 Fax: 614-626-8335 |