Mikayla Northup, MS, RD, LD is a
Dietitian, Registered based in Conneaut, Ohio. Mikayla Northup is licensed to practice in Ohio (license number LPD.10950) and her current practice location is
158 W Main Rd, Conneaut, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 593-0102.
NPI number for Mikayla Northup is 1447984323 and her current mailing address is 23914 Thornapple Dr, Cambridge Springs, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447984323.
Healthcare Provider's Profile
| Full Name | Mikayla Northup |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 158 W Main Rd, Conneaut, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447984323
- Provider Enumeration Date: 07/15/2022
- Last Update Date: 07/15/2022
Medical Identifiers
Medical identifiers for Mikayla Northup such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447984323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LPD.10950 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mikayla Northup is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mikayla Northup, MS, RD, LD
23914 Thornapple Dr,
Cambridge Springs, PA 16403-3566
Ph: () - | Mikayla Northup, MS, RD, LD
158 W Main Rd,
Conneaut, OH 44030-2039
Ph: (440) 593-0102 |
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