Individual provider Active NPI

Maria Haas, MS, RD,CDN

  • Registered Dietitian
  • Irving, NY
National Provider Identifier
1407096738
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
016458 Issued in IL
Practice address
845 Routes 5 and 20
Irving, NY 14081-9706
Phone
(716) 951-7252
Fax
(716) 951-7005
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
No

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016458ILMDRegistered Dietitian

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 016458 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

845 Routes 5 and 20
Irving, NY 14081-9706

Mailing address

845 Routes 5 and 20
Irving, NY 14081-9706
Phone (716) 951-7252

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
016458OtherILREGISTERED DIETITIAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2009.

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1407096738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 ROUTES 5 AND 20",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819706",
            "telephone_number": "716-951-7252",
            "fax_number": "716-951-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 ROUTES 5 AND 20",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819706",
            "telephone_number": "716-951-7252",
            "fax_number": "716-951-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MARIA",
        "credential": "MS, RD,CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "016458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "016458",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.