Active NPI
Mary Hall, RD, CDN
- Registered Dietitian
- Martinsville, VA
National Provider Identifier
1225528177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86066637
- Practice address
- 320 Hospital Dr
Martinsville, VA 24112-1900 - Phone
- (276) 666-7864
- NPI assigned
- May 16, 2018
- Last updated
- Feb 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 009926 | NY | |
| Registered Dietitian | 133V00000X | 86066637 | NY | Primary |
Addresses
Primary practice location
320 Hospital Dr
Martinsville, VA 24112-1900
Mailing address
108 N Market St Apt 202
Danville, VA 24541-1126
Phone (276) 666-7864
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86066637 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Dietitian | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1225528177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N MARKET ST APT 202",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411126",
"telephone_number": "276-666-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 HOSPITAL DR",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121900",
"telephone_number": "276-666-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MARY",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "009926",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86066637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.