Active NPI
Haley Beth Grace, R.D, L.D
- Registered Dietitian
- Montgomery, AL
National Provider Identifier
1316280845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2879
- Practice address
- 29 Mitylene Park LN
Montgomery, AL 36117-7303 - Phone
- (334) 356-2061
- Fax
- (334) 356-2694
- NPI assigned
- Apr 3, 2013
- Last updated
- Sep 11, 2018
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82658 | TX | |
| Registered Dietitian | 133V00000X | 2879 | AL | Primary |
Addresses
Primary practice location
29 Mitylene Park LN
Montgomery, AL 36117-7303
Mailing address
29 Mitylene Park LN
Montgomery, AL 36117-7303
Phone (334) 356-2061
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 |
|---|---|---|---|
| DT82658 | TX | MD | Registered Dietitian |
| 2879 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1316280845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MITYLENE PARK LN",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177303",
"telephone_number": "334-356-2061",
"fax_number": "334-356-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MITYLENE PARK LN",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177303",
"telephone_number": "334-356-2061",
"fax_number": "334-356-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "HALEY",
"middle_name": "BETH",
"credential": "R.D, L.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82658",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
- Billie Rae Gourlay, CRNA
- Govil Health LLC (All About Kids)
- Grace Circle, LLC (The Grace Circle)
- Grace Point Behavioral LLC
- Grace Therapy Solutions LLC
- Graceful Journeys Counseling & Consulting LLC
- David Graham, RN, MSN, NP-C
- Jasmine Graham, BSHA, CFM
- Kimberly Ashley Graham, PHARMD
- Leigh Harris Graham
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.