Individual provider Active NPI

Mary Ellen Hartrich, RD, CDN

  • Registered Dietitian
  • Amherst, NY
National Provider Identifier
1487798229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005034-1 Issued in NY
Practice address
1835 Maple Rd
Amherst, NY 14221-2711
Phone
(716) 634-5410
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 005034-1 NY Primary

Addresses

Primary practice location

1835 Maple Rd
Amherst, NY 14221-2711

Mailing address

18 Washington Hwy
Amherst, NY 14226-4331
Phone (716) 839-1539

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
005034-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Internal Medicine & Pediatrics, PLLC Past Accepting new patients
Diane Flanigen MD Eye Care PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487798229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WASHINGTON HWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264331",
            "telephone_number": "716-839-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142212711",
            "telephone_number": "716-634-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTRICH",
        "first_name": "MARY ELLEN",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005034-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • 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.