| Clarissa Jane Dilaveris, RD, LD | |
|
1160 W Broad St, Columbus, OH 43222-1352 | |
| (614) 274-1455 | |
| (614) 274-1433 |
| Full Name | Clarissa Jane Dilaveris |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1160 W Broad St, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275168411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT85859 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | LD.7440 (Ohio) | Primary |
| Provider Name | Baylor College Of Medicine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarissa Jane Dilaveris, RD, LD 2990 Bissonnet St Apt 11102, Houston, TX 77005-4074 Ph: (614) 907-3022 | Clarissa Jane Dilaveris, RD, LD 1160 W Broad St, Columbus, OH 43222-1352 Ph: (614) 274-1455 |
Kearson Petruzzi, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 186 E Norwich Ave Apt A, Columbus, OH 43201 Phone: 330-621-8611 | |
Ms. Therese Smith, RDN, LD, ACSM-EP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1925 Aschinger Blvd, Columbus, OH 43212 Phone: 330-907-9594 | |
Mrs. Dawn M. Holmes, MS, RD, CSSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3705 Olentangy River Rd, Suite 260, Columbus, OH 43214 Phone: 614-566-2786 Fax: 614-533-6609 | |
Mrs. Kaleigh Michel Tjoelker, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8036 | |
Corinne Barnhart, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1087 Dennison Ave, Columbus, OH 43201 Phone: 614-484-9668 | |
Sheela S Thomas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 450 West Tenth Avenue, Dept Of Nutrition 9-07 Rhodes Hall, Columbus, OH 43210 Phone: 614-293-2300 Fax: 614-293-3740 | |
Heather Colleen Mccormick, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1699 W Mound St, Columbus, OH 43223 Phone: 614-437-2880 Fax: 614-278-3143 |