Active NPI
Karen Olsen Hall, BS RD
- Registered Dietitian
- Lakeside, AZ
National Provider Identifier
1003070996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2332 Hall Dr
Lakeside, AZ 85929-5604 - Phone
- (928) 242-5098
- NPI assigned
- Jul 10, 2008
- Last updated
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
2332 Hall Dr
Lakeside, AZ 85929-5604
Mailing address
PO Box 3769
Pinetop, AZ 85935-3769
Phone (928) 242-5098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1003070996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3769",
"city": "PINETOP",
"state": "AZ",
"postal_code": "859353769",
"telephone_number": "928-242-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2332 HALL DR",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859295604",
"telephone_number": "928-242-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KAREN",
"middle_name": "OLSEN",
"name_prefix": "Ms.",
"credential": "BS RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeside, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.