Healthy Rise Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

HEALTHY RISE NUTRITION

Practice address

227 Greenfield St NE
Cedar Rapids, IA 52402-1626

Phone

(319) 431-8764

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Mary Gannon Kaufmann, RDNPI 1467875609

Title

President

Phone

(319) 423-7090

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Gannon Kaufmann, RD

  • Registered Dietitian
  • Cedar Rapids, IA
  • NPI 1467875609

  CO

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1174291223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 GREENFIELD ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021626",
            "telephone_number": "319-431-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 GREENFIELD ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021626",
            "telephone_number": "319-431-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY RISE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KAUFMANN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-423-7090",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "practicebetter.io",
            "affiliation": "N",
            "endpointDescription": "secure practice management platform or EMR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "saved data",
            "address_1": "227 Greenfield St NE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524021626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.

Verify at the official NPI Registry.