Active NPI
Jean Marie Harnisch, R.D.
- Registered Dietitian
- El Paso, TX
National Provider Identifier
1285962373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81325
- Practice address
- 5005 N Piedras St
Wbamc
El Paso, TX 79920-5001 - Phone
- (915) 569-1386
- Fax
- (915) 569-4890
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | DT81325 | TX | Primary |
Addresses
Primary practice location
5005 N Piedras St
Wbamc
El Paso, TX 79920-5001
Mailing address
5005 N Piedras St
Wbamc
El Paso, TX 79920-5001
Phone (915) 569-1386
Other names 1
- Jean Marie Robertson
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 |
|---|---|---|---|
| DT81325 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1285962373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "WBAMC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-569-1386",
"fax_number": "915-569-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "WBAMC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-569-1386",
"fax_number": "915-569-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNISCH",
"first_name": "JEAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "ROBERTSON",
"middle_name": "MARIE",
"credential": "R.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.