Individual provider Active NPI

Jane Hahn

  • Registered Dietitian
  • Charles Town, WV
National Provider Identifier
1003603457
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4814 Issued in MD
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

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, WV13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
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 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX4814MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of New Jersey LLC CurrentSince Jul 7, 2025 Accepting new patients
Monogram Health Professional Services of Florida LLC CurrentSince Sep 9, 2025 Accepting new patients
Monogram Health Professional Services PC CurrentSince May 7, 2025 Accepting new patients
Monogram Health Professional Services of New Mexico LLC CurrentSince Oct 24, 2025 Accepting new patients
Monogram Health Professional Services PC CurrentSince Oct 7, 2025 Accepting new patients
Monogram Health Professional Services of Washington DC PC CurrentSince Oct 6, 2025 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.

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.

Verify at the official NPI Registry.