Active NPI
Katie Warren Hartzog, MS, RD, LD
- Registered Dietitian
- Headland, AL
National Provider Identifier
1699815381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 944568
- Practice address
- 116 Della Mar Dr
Headland, AL 36345-8464 - Phone
- (334) 726-7179
- NPI assigned
- Feb 8, 2007
- Last updated
- Aug 17, 2007
- Sex
- Female
- 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 | 944568 | CO | |
| Registered Dietitian | 133V00000X | 944568 | AL | Primary |
Addresses
Primary practice location
116 Della Mar Dr
Headland, AL 36345-8464
Mailing address
116 Della Mar Dr
Headland, AL 36345-8464
Phone (334) 726-7179
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AUBURN UNIVERSITY | Other | CO | CDR |
| CO STATE UNIVERSITY | Other | CO | RD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 944568 | AL | MD | Registered Dietitian |
| 944568 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1699815381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 DELLA MAR DR",
"city": "HEADLAND",
"state": "AL",
"postal_code": "363458464",
"telephone_number": "334-726-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 DELLA MAR DR",
"city": "HEADLAND",
"state": "AL",
"postal_code": "363458464",
"telephone_number": "334-726-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZOG",
"first_name": "KATIE",
"middle_name": "WARREN",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "944568",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "944568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "AUBURN UNIVERSITY",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD",
"identifier": "CO STATE UNIVERSITY",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Headland, AL
- Leland Farmer, ALC
- Floyd Pharmaceutical Services Inc (Headland Discount Pharmacy)
- Floyd Pharmaceuticals SVCS Inc
- Grace Elaine Geisler, LPC
- John Preston Gunn, LPC-S
- Headland Pharmacy LLC (Dalton Pharmacy)
- Headland Physical Therapy LLC
- Headland Urgent Care, LLC
- Henry County Health Dept (Headland) STD
- Henry County Health Dept-Headland Adult Immun
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.