Active NPI
Douglas Hope, RD
- Registered Dietitian
- Lake City, FL
National Provider Identifier
1427488238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 895344
- Practice address
- 619 S. Marion Ave
Lake City VA Medical Center
Lake City, FL 32025 - Phone
- (386) 755-3016
- NPI assigned
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND6682 | FL | |
| Registered Dietitian | 133V00000X | 895344 | NY | Primary |
Addresses
Primary practice location
619 S. Marion Ave
Lake City VA Medical Center
Lake City, FL 32025
Mailing address
619 S. Marion Ave
Lake City VA Medical Center
Lake City, FL 32025
Phone (386) 755-3016
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND6682 | FL | MD | Registered Dietitian |
| 895344 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1427488238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S. MARION AVE",
"address_2": "LAKE CITY VA MEDICAL CENTER",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "32025",
"telephone_number": "386-755-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 S. MARION AVE",
"address_2": "LAKE CITY VA MEDICAL CENTER",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "32025",
"telephone_number": "386-755-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPE",
"first_name": "DOUGLAS",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-14",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6682",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "895344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.