Individual provider Active NPI

Hannah Pfohl, MS, RD, LDN

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1730799222
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006916 Issued in PA
Practice address
1136 N American St Unit 114
Philadelphia, PA 19123-1677
Phone
(678) 656-5830
NPI assigned
Aug 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 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 DN006916 PA Primary

Addresses

Primary practice location

1136 N American St Unit 114
Philadelphia, PA 19123-1677

Mailing address

1136 N American St Unit 114
Philadelphia, PA 19123-1677
Phone (678) 656-5830

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email Direct

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
DN006916PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Belly Soul Nutrition LLC Current Accepting new patients

Locations

1221 Locust St
Philadelphia, PA 19107
Phone (202) 503-4373

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": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1730799222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 N AMERICAN ST UNIT 114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231677",
            "telephone_number": "678-656-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 N AMERICAN ST UNIT 114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231677",
            "telephone_number": "678-656-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOHL",
        "first_name": "HANNAH",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical terminology/plain text",
            "address_1": "1136 N American St Unit 114",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191231677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.