Active NPI
Julie Hartley, R.D., L.D.N, H.C
- Registered Dietitian
- Shreveport, LA
National Provider Identifier
1386951952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1178
- Practice address
- 10017 Commander Dr
Shreveport, LA 71106-8403 - Phone
- (318) 795-9905
- Fax
- (318) 795-9905
- NPI assigned
- Sep 2, 2010
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1178 | LA | |
| Registered Dietitian | 133V00000X | 1178 | LA | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 1178 | LA |
Addresses
Primary practice location
10017 Commander Dr
Shreveport, LA 71106-8403
Mailing address
10017 Commander Dr
Shreveport, LA 71106-8403
Phone (318) 795-9905
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1386951952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10017 COMMANDER DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068403",
"telephone_number": "318-795-9905",
"fax_number": "318-795-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10017 COMMANDER DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068403",
"telephone_number": "318-795-9905",
"fax_number": "318-795-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "JULIE",
"credential": "R.D., L.D.N, H.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "LA",
"license": "1178",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1178",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "LA",
"license": "1178",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.