Active NPI
Holly Renae Hartzler, MS, RD, LD
- Registered Dietitian
- Dover, OH
National Provider Identifier
1801957600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5854
- Practice address
- 659 Boulevard St
Dover, OH 44622-2026 - Phone
- (330) 343-3311
- Fax
- (330) 602-0710
- NPI assigned
- Dec 13, 2006
- 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 | 5854 | OH | Primary |
Addresses
Primary practice location
659 Boulevard St
Dover, OH 44622-2026
Mailing address
6329 Evans Creek Rd SW
Stone Creek, OH 43840-9502
Phone (330) 340-9952
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5854 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1801957600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6329 EVANS CREEK RD SW",
"city": "STONE CREEK",
"state": "OH",
"postal_code": "438409502",
"telephone_number": "330-340-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 BOULEVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222026",
"telephone_number": "330-343-3311",
"fax_number": "330-602-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZLER",
"first_name": "HOLLY",
"middle_name": "RENAE",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "5854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.