Active NPI
Sally Ann Harryman, RD
- Registered Dietitian
- Frontenac, KS
National Provider Identifier
1003385196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 314 E McKay St
Frontenac, KS 66763-2247 - Phone
- (620) 240-3416
- NPI assigned
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
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
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO
- TX HMO D-SNP
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
314 E McKay St
Frontenac, KS 66763-2247
Mailing address
314 E McKay St
Frontenac, KS 66763-2247
Phone (620) 240-3416
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | I DO NOT HAVE ANY OTHER IDENTIFIERS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2018.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1003385196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 E MCKAY ST",
"city": "FRONTENAC",
"state": "KS",
"postal_code": "667632247",
"telephone_number": "620-240-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 E MCKAY ST",
"city": "FRONTENAC",
"state": "KS",
"postal_code": "667632247",
"telephone_number": "620-240-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRYMAN",
"first_name": "SALLY",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "I DO NOT HAVE ANY OTHER IDENTIFIERS",
"identifier": "00",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frontenac, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.