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Active NPI 1942563481 Individual Practitioner Female Practitioner

Annetta J Corcoran , RD, LD

Dietitian, Registered • Defiance, OH

Professional Overview & Biography Verified Profile Summary

Annetta Corcoran, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Defiance, OH. Practice services are available at 1400 E 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 E 2nd St

Defiance, OH 435122440

Telephone 4197841414
Fax 4197832799
Associated Practice Facility / Clinic
🏢 Fauster Cameron Inc. Facility NPI 1649253964

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Defiance, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Defiance, 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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OH LD4032

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Douglas Lee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013990217

Certified Registered Nurse Anesthetist

NPI 1033191911

Doctor of Medicine (M.D.)

NPI 1053302471

Doctor of Medicine (M.D.)

NPI 1073595328

Doctor of Podiatric Medicine

Molly Knepley , OT

Occupational Therapist

NPI 1104296896

Occupational Therapist

NPI 1104858745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2012

Registered at 1400 E 2ND ST, DEFIANCE, OH 435122440 (Tel: 4197841414)

📍
Updated Business Mailing Address July 13, 2012

Registered at 2200 JEFFERSON AVE, 4TH FLOOR CREDENTIALING, TOLEDO, OH 436047101 (Tel: 4192518983)

👤
Provider Name / Credentials Updated July 13, 2012

Recorded as ANNETTA CORCORAN, RD,LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2012

Dietitian, Registered (License #LD4032 in OH)

🟢
Initial NPI Registration & Enumeration June 20, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942563481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2012
Last Update: July 13, 2012
Sole Proprietor: No

Mailing Address

2200 Jefferson Ave, 4th Floor Credentialing

Toledo, OH 436047101

Phone: 4192518983

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.