Individual provider Active NPI

Carol-Anne Hipple, RD, LD, MS, MBA

  • Registered Dietitian
  • Reno, NV
National Provider Identifier
1710238357
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
40580-DIE-0 Issued in NV
Practice address
9662 Otter Way
Reno, NV 89521-5810
Phone
(480) 580-6551
NPI assigned
Sep 23, 2012
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT90217 TX
Registered Dietitian 133V00000X 2014007459 MO
Registered Dietitian 133V00000X 40580-DIE-0 NV Primary

Addresses

Primary practice location

9662 Otter Way
Reno, NV 89521-5810

Mailing address

9662 Otter Way
Reno, NV 89521-5810
Phone (719) 425-8960

Other names 1

  • Carol-Anne Carr Former name

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 Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
2014007459MOMDRegistered Dietitian
40580-DIE-0NVMDRegistered Dietitian
DT90217TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1710238357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9662 OTTER WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215810",
            "telephone_number": "719-425-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9662 OTTER WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215810",
            "telephone_number": "480-580-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPPLE",
        "first_name": "CAROL-ANNE",
        "credential": "RD, LD, MS, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT90217",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2014007459",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "40580-DIE-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL-ANNE",
            "last_name": "CARR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.