Makenzie Haltom, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37002537A Issued in IN

Practice address

3901 S 7TH St
Terre Haute, IN 47802-5709

Phone

(812) 237-1161

Fax

(812) 242-6555

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1386029130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025709",
            "telephone_number": "812-237-1161",
            "fax_number": "812-242-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025709",
            "telephone_number": "812-237-1161",
            "fax_number": "812-242-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "MAKENZIE",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002537A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Rhea Hall, NP
• Makenzie Anne Hall, ACNP-AG
• McKenzie C Hall, LSW
• Mykalia Hall
• Sue Ann Haller, LCSW LMFT
• Usman Hamayoun, MD
• Chelsea Elizabeth Hamersley
• Hamilton Center Inc. (Grace Clinic Health Professional)
• Hamilton Center Inc. (Infinity House)
• Hamilton Center, Inc.

• Registered Dietitian in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.