Individual provider Active NPI

Harriet R. King, RDN. CDE. CDN.

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1285799247
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
002656 Issued in NY
Practice address
5615 Ave. J
Brooklyn, NY 11234-2511
Phone
(917) 572-6949
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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 002656 NY Primary

Addresses

Primary practice location

5615 Ave. J
Brooklyn, NY 11234-2511

Mailing address

5615 Avenue J
Brooklyn, NY 11234-2511
Phone (917) 572-6949

Other identifiers 1

IdentifierTypeStateIssuer
002656OtherNYNEW YORK STATE CERTIFICAT

Other names 1

  • Ms. Jahanda H. King Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000116 TX Practitioner - Registered Dietitian Or Nutrition Professional 2466496799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered CurrentSince Apr 26, 2024 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Locations

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1285799247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342511",
            "telephone_number": "917-572-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 AVE. J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342511",
            "telephone_number": "917-572-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HARRIET",
        "middle_name": "R.",
        "name_prefix": "Miss",
        "credential": "RDN. CDE. CDN.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "002656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE CERTIFICAT",
            "identifier": "002656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAHANDA",
            "last_name": "KING",
            "middle_name": "H.",
            "prefix": "MS.",
            "credential": "RDN. CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.