Individual provider Active NPI

Hope S Gardner, MS, RDN, LDN

  • Registered Dietitian
  • Mandeville, LA
National Provider Identifier
1649877135
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2097 Issued in LA
Practice address
1500 Elderberry Loop
Mandeville, LA 70448-7095
Phone
(985) 807-2005
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 2097 LA Primary

Addresses

Primary practice location

1500 Elderberry Loop
Mandeville, LA 70448-7095

Mailing address

1500 Elderberry Loop
Mandeville, LA 70448-7095
Phone (985) 807-2005

Other identifiers 2

IdentifierTypeStateIssuer
809865OtherCOMMISSION ON DIETETIC REGISTRATION
2097OtherLALOUISIANA BOARD OF EXAMINERS IN DIETETICS AND NUTRITION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Teladoc.com Health Information Exchange (HIE)

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2097LAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1649877135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ELDERBERRY LOOP",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487095",
            "telephone_number": "985-807-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ELDERBERRY LOOP",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487095",
            "telephone_number": "985-807-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "HOPE",
        "middle_name": "S",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "809865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF EXAMINERS IN DIETETICS AND NUTRITION",
            "identifier": "2097",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Teladoc.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 Elderberry Loop",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704487095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.