Haiddie L Prata, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT07580 Issued in TX

Practice address

7500 Cochrane Circle
Each Meddac Nutrition Care Division
Fort Carson, CO 80913

Phone

(719) 526-7973

NPI assigned

Jul 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1639333867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ORION DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 COCHRANE CIRCLE",
            "address_2": "EACH MEDDAC NUTRITION CARE DIVISION",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATA",
        "first_name": "HAIDDIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mulhall Pontzer, D.O.
• Rebecca Anne Porteous
• Justyna K Porter, LCSW
• Robert Thomas Powers, DO
• Stephanie Powers, DENTAL ASSISTANT
• Geoffrey Presley, PA
• Christopher Michael Prevette, PA-C
• Karrie Anne Price, RN
• Jonathan Boyd Printers Jr., LCSW
• Lynne A Prouhet, FNP

• Registered Dietitian in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.