Healthcare Provider Details

I. General information

NPI: 1023965639
Provider Name (Legal Business Name): CLAIRE OLIVIA REINKING MS, RD, CSSD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 IRVING SCHOTTENSTEIN DR
COLUMBUS OH
43210-1069
US

IV. Provider business mailing address

2154 QUARRY TRAILS DR UNIT 411
COLUMBUS OH
43228-9884
US

V. Phone/Fax

Practice location:
  • Phone: 513-720-9880
  • Fax:
Mailing address:
  • Phone: 513-720-9880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License NumberLD.10577
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: