Individual provider Active NPI

Emily Renee Hais, RD, LD, CLC

  • Registered Dietitian
  • Harrison, OH
National Provider Identifier
1396436226
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.8052 Issued in OH
Practice address
457 Lyness Ave
Harrison, OH 45030-5008
Phone
(513) 509-9408
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.8052 OH Primary

Addresses

Primary practice location

457 Lyness Ave
Harrison, OH 45030-5008

Mailing address

457 Lyness Ave
Harrison, OH 45030-5008
Phone (513) 509-9408

Other names 1

  • Emily Renee McMahan Former name

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

LicenseStateTypeSpecialty
LD.8052OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1396436226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 LYNESS AVE",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450305008",
            "telephone_number": "513-509-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 LYNESS AVE",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450305008",
            "telephone_number": "513-509-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIS",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.8052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MCMAHAN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.