Active NPI
Jane Hahn
- Registered Dietitian
- Charles Town, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX4814
- Practice address
- 111 Tate Manor Dr
Charles Town, WV 25414-1009 - Phone
- (301) 529-7244
- NPI assigned
- Apr 21, 2025
- 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 | DX4814 | MD | Primary |
Addresses
Primary practice location
111 Tate Manor Dr
Charles Town, WV 25414-1009
Mailing address
111 Tate Manor Dr
Charles Town, WV 25414-1009
Phone (301) 529-7244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, ME, CT, NJ, FL, DC, GA, SC, DE, PA, MA, VA, WV
Enrollment records 13
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250513001403 | MD | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20250624002193 | ME | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20250701001560 | CT | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20250721000379 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20250920000681 | FL | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20251026000019 | DC | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 2 organizations |
| I20251030002045 | GA | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20251108000164 | SC | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20251110001231 | DE | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | |
| I20251208001866 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20251216000096 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20260330000104 | VA | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
| I20260421001496 | WV | Practitioner - Registered Dietitian Or Nutrition Professional | 5991223018 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Rutgers New Jersey Medical School, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Monogram Health Professional Services of Florida LLC
Practice addresses (Care Compare)
Jacksonville, FL 32256
Phone (855) 212-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX4814 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services of New Jersey LLC | Current | Accepting new patients | |
| Monogram Health Professional Services of Florida LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services of New Mexico LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services of Washington DC PC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Past | Accepting new patients |
Locations
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
1200 G St NW
Ste 800
Washington, DC 20005
Phone (202) 630-2519
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731
145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509
254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309
140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900
1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367
128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865
5410 Maryland Way
Ste 400
Brentwood, TN 37027
5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116
Organizations & group practices 7
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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1538883111
FL
-
- Nephrology Physician
- Paramus, NJ
- NPI 1578284246
NJ
-
- Nephrology Physician
- Washington, DC
- NPI 1962112326
DC
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
CT, DC, MA, MD, ME, PA, SC, VA, WV
-
- Nephrology Physician
- Albuquerque, NM
- NPI 1831804699
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1003603457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 TATE MANOR DR",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254141009",
"telephone_number": "301-529-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 TATE MANOR DR",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254141009",
"telephone_number": "301-529-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX4814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.