Active NPI
Debbie Jane Hearn
- Registered Dietitian
- Harrisburg, IL
National Provider Identifier
1801436175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005485
- Practice address
- 100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718 - Phone
- (618) 253-0462
- Fax
- (618) 253-7104
- NPI assigned
- Jan 14, 2020
- 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 | 164.005485 | IL | Primary |
Addresses
Primary practice location
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Mailing address
106 N Carlyle St # 12
Pittsburg, IL 62974-1034
Phone (618) 997-6309
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 |
|---|---|---|---|
| 164.005485 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1801436175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 N CARLYLE ST # 12",
"city": "PITTSBURG",
"state": "IL",
"postal_code": "629741034",
"telephone_number": "618-997-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DR WARREN TUTTLE DR",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629462718",
"telephone_number": "618-253-0462",
"fax_number": "618-253-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "DEBBIE",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.