Active NPI
Clancy Cash Harrison, RD
- Registered Dietitian
- Dallas, PA
National Provider Identifier
1417120239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003796
- Practice address
- 27 Rice CT
Dallas, PA 18612-1424 - Phone
- (570) 881-0683
- NPI assigned
- Apr 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN003796 | PA | Primary |
Addresses
Primary practice location
27 Rice CT
Dallas, PA 18612-1424
Mailing address
27 Rice CT
Dallas, PA 18612-1424
Phone (570) 881-0683
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208044800000",
"number": "1417120239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 RICE CT",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121424",
"telephone_number": "570-881-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 RICE CT",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121424",
"telephone_number": "570-881-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "CLANCY",
"middle_name": "CASH",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-13",
"last_updated": "2008-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.