Active NPI
Anna Minter Hartman, RDN, LD
- Registered Dietitian
- Louisville, KY
National Provider Identifier
1730625328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 123875
- Practice address
- 3113 Widgeon Ave
Louisville, KY 40213-1111 - Phone
- (502) 432-3969
- NPI assigned
- Jan 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 123875 | KY | Primary |
Addresses
Primary practice location
3113 Widgeon Ave
Louisville, KY 40213-1111
Mailing address
3113 Widgeon Ave
Louisville, KY 40213-1111
Phone (502) 432-3969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123875 | KY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Food Smarts Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1730625328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 WIDGEON AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402131111",
"telephone_number": "502-432-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 WIDGEON AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402131111",
"telephone_number": "502-432-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "ANNA",
"middle_name": "MINTER",
"name_prefix": "Mrs.",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "123875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.