Individual provider Active NPI

Emily Cartwright Poole, RD, LDN

  • Registered Dietitian
  • Clarksburg, MD
National Provider Identifier
1730378118
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D02375 Issued in MD
Practice address
13011 Clarksburg Square Rd
Clarksburg, MD 20871-4399
Phone
(301) 922-0061
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 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 D02375 MD Primary

Addresses

Primary practice location

13011 Clarksburg Square Rd
Clarksburg, MD 20871-4399

Mailing address

13011 Clarksburg Square Rd
Clarksburg, MD 20871-4399
Phone (301) 922-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002135 MD Practitioner - Registered Dietitian Or Nutrition Professional 9436699758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D02375MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Home Care Therapy, Inc. Dietitian, Registered CurrentSince Aug 26, 2024 Accepting new patients

Locations

4640 Wedgewood Blvd
Ste 104
Frederick, MD 21703
Phone (240) 457-9558

1045 Maryland Ave
Hagerstown, MD 21740
Phone (240) 291-1043

1105 Maryland Ave
Hagerstown, MD 21740
Phone (301) 739-5437

Organizations & group practices 1

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1730378118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 CLARKSBURG SQUARE RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714399",
            "telephone_number": "301-922-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 CLARKSBURG SQUARE RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714399",
            "telephone_number": "301-922-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "EMILY",
        "middle_name": "CARTWRIGHT",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D02375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.