Active NPI
Andrea S McCarty, MS,RD,LD,CDE
- Registered Dietitian
- Morgantown, WV
National Provider Identifier
1043354160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 452
- Practice address
- 1200 J D Anderson Dr
Morgantown, WV 26505-3494 - Phone
- (304) 598-1568
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 452 | WV | Primary |
Addresses
Primary practice location
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Mailing address
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (301) 598-1568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2222-0215 | Other | CDE | |
| 887052 | Other | WV | CDR LIC NUMBER |
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)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 452 | WV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1043354160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 J D ANDERSON DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053494",
"telephone_number": "301-598-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 J D ANDERSON DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053494",
"telephone_number": "304-598-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "ANDREA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MS,RD,LD,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDE",
"identifier": "2222-0215",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR LIC NUMBER",
"identifier": "887052",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.