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CLARISSA JANE DILAVERIS RD, LD
NPI 1275168411
Dietitian, Registered in Columbus, OH

Active since March 09, 2020
1160 W BROAD ST, COLUMBUS, OH 43222(614) 274-1455(614) 274-1433 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2023, Feb 10, 2022, Mar 9, 2020 (3 updates tracked since 2020).

About Clarissa Jane Dilaveris Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA JANE DILAVERIS RD, LD (NPI 1275168411) is an individual dietitian, registered in Columbus, Ohio, licensed in Ohio (LD.7440) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1275168411
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCLARISSA JANE DILAVERISCredential: RD, LD
Location Address1160 W BROAD STColumbus, OH 43222-1352
Mailing Address2990 Bissonnet St Apt 11102Houston, TX 77005-4074 · (614) 907-3022
Phone(614) 274-1455
Fax(614) 274-1433
Sole ProprietorYes
Enumeration DateMarch 9, 2020
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1275168411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in OH · LD.7440✔ Licensed in TX · DT85859
Definition
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.
1160 W BROAD ST, Columbus, OH 43222
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarissa Jane Dilaveris Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Clarissa Dilaveris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lower Lights Christian Health Center, Inc.
Same address
Primary Care
1160 W BROAD ST
Columbus, OH 43222
  • Reassigned Medicare billing, Ohio enrollment
  • 80 clinicians in this Medicare group
NPI 1033455209 (614) 274-1455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA VALENTINE
Nurse Practitioner (Family)
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC.
Clinic/Center (Primary Care)
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
MRS. RANJANA SINHA MD
Pediatrics
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
JORI BLUME
Social Worker (Clinical)
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
AMANDA RANSDELL O.D.
Optometrist
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
CRYSTAL BURNFIELD
Nurse Practitioner
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
DR. TERRESA LOUISE HAWTHORNE MD
Family Medicine
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
ANJA VESANEN BROKAW NP-C
Nurse Practitioner (Family)
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER
COLUMBUS, OH 43222
Franklin County (614) 274-1455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarissa Dilaveris's NPI number?

The NPI number for Clarissa Dilaveris is 1275168411. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Clarissa Dilaveris located?

Clarissa Dilaveris practices at 1160 W Broad St, Columbus, OH 43222. The listed phone number is (614) 274-1455.

What is Clarissa Dilaveris's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Clarissa Dilaveris enrolled in Medicare?

Yes. Clarissa Dilaveris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clarissa Dilaveris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Dilaveris reassigns Medicare benefits to Lower Lights Christian Health Center, Inc. (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarissa Dilaveris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarissa Dilaveris accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Clarissa Dilaveris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarissa Dilaveris was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.