Active NPI
Erin Kennedy Hartensveld, RD
- Registered Dietitian
- Vista, CA
National Provider Identifier
1326810714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 840701
- Practice address
- 2115 Alta Vista Dr
Vista, CA 92084-7020 - Phone
- (760) 518-6216
- NPI assigned
- Oct 27, 2023
- Last updated
- Oct 27, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 840701 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 840701 | CA | |
| Registered Dietitian | 133V00000X | 840701 | CA | Primary |
Addresses
Primary practice location
2115 Alta Vista Dr
Vista, CA 92084-7020
Mailing address
2115 Alta Vista Dr
Vista, CA 92084-7020
Phone (760) 518-6216
Other names 1
- Erin Kennedy
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 840701 | CA | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | 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": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1326810714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 ALTA VISTA DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920847020",
"telephone_number": "760-518-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 ALTA VISTA DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920847020",
"telephone_number": "760-518-6216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY HARTENSVELD",
"first_name": "ERIN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "840701",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "840701",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "840701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "KENNEDY",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.