Active NPI
Cameron Earnheart, RD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1184104515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2017039272
- Practice address
- 3009 North Ballas Road
Building B - Suite 112
St. Louis, MO 63131 - Phone
- (314) 996-7036
- NPI assigned
- Aug 15, 2018
- Sex
- Male
- 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 | 2017039272 | MO | Primary |
Addresses
Primary practice location
3009 North Ballas Road
Building B - Suite 112
St. Louis, MO 63131
Mailing address
3009 North Ballas Road
Building B - Suite 112
St. Louis, MO 63131
Phone (314) 996-7036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Arkansas College of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1710 Harrison St
Batesville, AR 72501-7397
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017039272 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1184104515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 NORTH BALLAS ROAD",
"address_2": "BUILDING B - SUITE 112",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-996-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 NORTH BALLAS ROAD",
"address_2": "BUILDING B - SUITE 112",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-996-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNHEART",
"first_name": "CAMERON",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2017039272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.