Active NPI
Hannah Dennis, RD
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1154171528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5007
- Practice address
- 909 Fulton St SE
Minneapolis, MN 55455-4800 - Phone
- (608) 780-0220
- NPI assigned
- Mar 26, 2024
- Last updated
- Mar 26, 2024
- 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 | 5007 | MN | Primary |
Addresses
Primary practice location
909 Fulton St SE
Minneapolis, MN 55455-4800
Mailing address
150 26TH Ave SE Unit 506
Minneapolis, MN 55414-4328
Phone (608) 780-0220
Other names 1
- Hannah Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520003009 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 0446692677 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007 | MN | MD | Physical Therapist |
Interoperability endpoints
- hannah.dennis.1@16436.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1154171528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 26TH AVE SE UNIT 506",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554144328",
"telephone_number": "608-780-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554554800",
"telephone_number": "608-780-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "HANNAH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "5007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "JOHNSON",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.