Active NPI
Gina Michelle Hardiman
- Obesity and Weight Management Nutrition Registered Dietitian
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- 852014
- Practice address
- 7650 East Parham Road
Suite 100
Richmond, VA 23294-4376 - Phone
- (804) 288-3136
- NPI assigned
- May 5, 2021
- Last updated
- May 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 852014 | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 852014 | VA | Primary |
Addresses
Primary practice location
7650 East Parham Road
Suite 100
Richmond, VA 23294-4376
Mailing address
1115 Boulders Parkway
Suite 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1112 Cohen TRL
Midlothian, VA 23114-4643
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 852014 | VA | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Coast Wellness and Performance Center | Single Specialty | Current | Accepting new patients |
Locations
4913 Bridges St Ext
Morehead City, NC 28557
4913 Bridges St Ext
Ste 102
Morehead City, NC 28557
Phone (252) 648-8010
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.
-
- Registered Dietitian
- Morehead City, NC
- NPI 1679104293
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1386227502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 BOULDERS PARKWAY",
"address_2": "SUITE 200",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232254067",
"telephone_number": "804-560-5595",
"fax_number": "804-968-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 EAST PARHAM ROAD",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944376",
"telephone_number": "804-288-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIMAN",
"first_name": "GINA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": "852014",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "VA",
"license": "852014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.