Active NPI
Haley Ann Robertson, RD, LD
- Registered Dietitian
- Columbus, OH
National Provider Identifier
1386171270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD7892
- Practice address
- 3535 Olentangy River Rd
Columbus, OH 43214-3908 - Phone
- (614) 670-2230
- NPI assigned
- May 22, 2017
- 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 | LD7892 | OH | Primary |
Addresses
Primary practice location
3535 Olentangy River Rd
Columbus, OH 43214-3908
Mailing address
886 Deacon Cir
Columbus, OH 43214-2393
Phone (614) 670-2230
Other practice location 1
4200 Regent St Ste 200
Columbus, OH 43219-6229
Phone (614) 944-5123
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 |
|---|---|---|---|
| LD7892 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386171270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 DEACON CIR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142393",
"telephone_number": "614-670-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143908",
"telephone_number": "614-670-2230"
}
],
"practiceLocations": [
{
"address_1": "4200 Regent St Ste 200",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432196229",
"country_code": "US",
"telephone_number": "614-944-5123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "HALEY",
"middle_name": "ANN",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD7892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.