Individual provider Active NPI

Sally Ann Harryman, RD

  • Registered Dietitian
  • Frontenac, KS
National Provider Identifier
1003385196
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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)

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Networks

  • TX HMO
  • TX HMO D-SNP

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
00OtherI 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.

Verify at the official NPI Registry.