Individual provider Active NPI

Haley Edwards, R. D.

  • Registered Dietitian
  • Sterling, CO
National Provider Identifier
1255734141
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
926680 Issued in CO
Practice address
615 Fairhurst St
Sterling, CO 80751-4523
Phone
(970) 521-3129
NPI assigned
Oct 6, 2014
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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 926680 CO Primary

Addresses

Primary practice location

615 Fairhurst St
Sterling, CO 80751-4523

Mailing address

PO Box 112
Haxtun, CO 80731-0112
Phone (970) 380-9040

Other names 1

  • Haley Kathryn Wernsman Former name

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

LicenseStateTypeSpecialty
926680COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
East Morgan County Hospital 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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1255734141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "HAXTUN",
            "state": "CO",
            "postal_code": "807310112",
            "telephone_number": "970-380-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FAIRHURST ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514523",
            "telephone_number": "970-521-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "R. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "926680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "WERNSMAN",
            "middle_name": "KATHRYN",
            "credential": "R. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.