Active NPI
Demera Jamie Hale, RD
- Registered Dietitian
- Danbury, NC
National Provider Identifier
1003135237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 954464
- Practice address
- 1009 Main Street
Danbury, NC 27016 - Phone
- (336) 593-2400
- NPI assigned
- May 27, 2010
- 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 | 954464 | CA | Primary |
Addresses
Primary practice location
1009 Main Street
Danbury, NC 27016
Mailing address
423 S Hawthorne Rd
Apt D
Winston Salem, NC 27103-3787
Phone (909) 556-0116
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954464 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Stokes | Past | Accepting new patients | |
| Stokes Family Health Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Danbury, NC
- NPI 1316914534
-
- Federally Qualified Health Center (FQHC)
- Danbury, NC
- NPI 1083940795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1003135237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 S HAWTHORNE RD",
"address_2": "APT D",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033787",
"telephone_number": "909-556-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 MAIN STREET",
"city": "DANBURY",
"state": "NC",
"postal_code": "27016",
"telephone_number": "336-593-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "DEMERA",
"middle_name": "JAMIE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "954464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.