Greg J Mahrt, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

893268 Issued in UT

Practice address

6822 East 1000 South
Ft. Duchesne, UT 84026

Phone

(435) 722-5122

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417050907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W 1500 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840789623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 EAST 1000 SOUTH",
            "city": "FT. DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-722-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHRT",
        "first_name": "GREG",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "893268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "893268",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Duchesne Indian Health Center Laboratory
• Fort Duchesne Indian Health Center Radiology
• Juanita M Fox, RN, CDE
• Leon Keith Hutchinson, RPH
• Paul Jones, LPN
• Delbert Gary Martin, RPH
• Frank Britton Martin, RPH., PHARMD.
• Timothy A McCreary, P.A.
• Brent McDonald, RN
• Stephen J. Meier, MD

• Registered Dietitian in Fort Duchesne, UT
• Providers in Fort Duchesne, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.