Individual provider Active NPI

Karla Beth Herman, RD

  • Nutritionist
  • Forsyth, MT
National Provider Identifier
1740477520
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
481 Issued in MT
Practice address
383 N 17TH Ave
Forsyth, MT 59327-7971
Phone
(406) 346-2161
Fax
(406) 346-4247
NPI assigned
Sep 26, 2007
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 481 MT Primary

Addresses

Primary practice location

383 N 17TH Ave
Forsyth, MT 59327-7971

Mailing address

PO Box 268
Forsyth, MT 59327-0268
Phone (406) 346-2161

Other identifiers 1

IdentifierTypeStateIssuer
481OtherMTSTATE LICENSE

Other names 1

  • Karla Beth Herman 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
481MTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1740477520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270268",
            "telephone_number": "406-346-2161",
            "fax_number": "406-346-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 N 17TH AVE",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593277971",
            "telephone_number": "406-346-2161",
            "fax_number": "406-346-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "KARLA",
        "middle_name": "BETH",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MT",
            "license": "481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "481",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "HERMAN",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forsyth, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.