Active NPI
Dawn Hardgrave, CNS, LDN
- Nutritionist
- Potomac, MD
National Provider Identifier
1144060963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX6489
- Practice address
- 7841 Heatherton LN
Potomac, MD 20854-3220 - Phone
- (240) 277-3846
- NPI assigned
- May 29, 2024
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX6489 | MD | Primary |
Addresses
Primary practice location
7841 Heatherton LN
Potomac, MD 20854-3220
Mailing address
7841 Heatherton LN
Potomac, MD 20854-3220
Phone (240) 277-3846
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX6489 | MD | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1144060963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7841 HEATHERTON LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543220",
"telephone_number": "240-277-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7841 HEATHERTON LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543220",
"telephone_number": "240-277-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDGRAVE",
"first_name": "DAWN",
"name_prefix": "Ms.",
"credential": "CNS, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX6489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.