Individual provider Active NPI

Tamara M Hargett, RD

  • Registered Dietitian
  • San Angelo, TX
National Provider Identifier
1144239898
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
803193 Issued in TX
Practice address
301 W Beauregard Ave
Suite 202a
San Angelo, TX 76903-6370
Phone
(325) 651-2104
Fax
(877) 320-9707
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 803193 TX Primary

Addresses

Primary practice location

301 W Beauregard Ave
Suite 202a
San Angelo, TX 76903-6370

Mailing address

PO Box 60493
San Angelo, TX 76906-0493
Phone (325) 651-2104

Other identifiers 3

IdentifierTypeStateIssuer
BCBSOtherTX0095KM
DT06818OtherTXDIETITION LICENSE
803193OtherTXCERTIFIED DIETETIC REG.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000475 TX Practitioner - Registered Dietitian Or Nutrition Professional 8820985757 Practice locations: San Angelo, TX

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 W Beauregard
Suite 202a
San Angelo, TX 76903-6370
Phone (325) 651-2104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
803193TXMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1144239898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60493",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769060493",
            "telephone_number": "325-651-2104",
            "fax_number": "877-320-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BEAUREGARD AVE",
            "address_2": "SUITE 202A",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036370",
            "telephone_number": "325-651-2104",
            "fax_number": "877-320-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGETT",
        "first_name": "TAMARA",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "803193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0095KM",
            "identifier": "BCBS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITION LICENSE",
            "identifier": "DT06818",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIETETIC REG.",
            "identifier": "803193",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.