Active NPI
Dawn Rochelle Hamula
- Registered Dietitian
- Crestview, FL
National Provider Identifier
1285796193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND3763
- Practice address
- 550 Redstone Ave W
Suite 200
Crestview, FL 32536-6428 - Phone
- (850) 682-6122
- Fax
- (850) 682-5917
- NPI assigned
- Dec 15, 2006
- 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 | ND3763 | FL | Primary |
Addresses
Primary practice location
550 Redstone Ave W
Suite 200
Crestview, FL 32536-6428
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-4681
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 |
|---|---|---|---|
| ND3763 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285796193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-4681",
"fax_number": "850-416-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 REDSTONE AVE W",
"address_2": "SUITE 200",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325366428",
"telephone_number": "850-682-6122",
"fax_number": "850-682-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMULA",
"first_name": "DAWN",
"middle_name": "ROCHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
- Lisa M. Haik, FNP-BC
- Jacqueline Hakanson, MS, CCC-SLP
- Kathleen A Haley-Seymour, D.M.D.
- Christina Hall, OTR/L
- Janet S Hamby, MD
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
- Hanger Prosthetics & Orthotics, Inc. (Hanger Clinic)
- Hankison Family Chiropractic & Acupuncture Inc.
- Heather Rene Hankison, D.C.
- James Frank Hankison, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.