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Active NPI 1992974422 Individual Practitioner Female Practitioner

Annette L. Pedersen , RDN, LD, CDE

Dietitian, Registered • Broadview Heights, OH

Professional Overview & Biography Verified Profile Summary

Annette Pedersen, RDN, LD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Broadview Heights, OH. Practice services are available at 9417 BROADVIEW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9417 Broadview Rd

Broadview Heights, OH 441472307

Telephone 3303887894
Associated Practice Facility / Clinic
🏢 Nutrition Works, Llc Facility NPI 1831720796

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Broadview Heights, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Broadview Heights, OH (2603 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OH LD2323

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Registered Nurse - Diabetes Educator

NUCC Taxonomy Code: 163WD0400X

State License OH 288780

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Joseph Hallal , AUDIOLOGIST

Audiologist-Hearing Aid Fitter

NPI 1013456706
Dr. Paul Bures , DO

Family Medicine

NPI 1336300334

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 03, 2021

Registered at 9417 BROADVIEW RD, BROADVIEW HEIGHTS, OH 441472307 (Tel: 3303887894)

📍
Updated Business Mailing Address September 03, 2021

Registered at 9417 BROADVIEW RD, BROADVIEW HEIGHTS, OH 441472307 (Tel: 3303887894)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2021

Dietitian, Registered (License #LD2323 in OH)

📍
Updated Practice Location October 08, 2019

Registered at 9247 WINDSWEPT DR, BRECKSVILLE, OH 441412552 (Tel: 3303887894)

👤
Provider Name / Credentials Updated October 08, 2019

Recorded as ANNETTE PEDERSEN, RDN, LD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Registered Nurse (License #288780 in OH)

NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2015

Registered at 10000 BRECKSVILLE RD, B-COPS, BRECKSVILLE, OH 441413204 (Tel: 4405263030)

📍
Updated Business Mailing Address October 22, 2015

Registered at 9247 WINDSWEPT DR, BRECKSVILLE, OH 441412552 (Tel: 3303887894)

👤
Provider Name / Credentials Updated October 22, 2015

Recorded as ANNETTE PEDERSEN, CNS, RD, LD, BC-ADM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Dietitian, Registered (License #LD2323 in OH)

🟢
Initial NPI Registration & Enumeration February 28, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992974422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2008
Last Update: September 03, 2021
Sole Proprietor: Yes

Mailing Address

9417 Broadview Rd

Broadview Heights, OH 441472307

Phone: 3303887894

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.