Active NPI
Ashley Bannister, RD, LDN
- Registered Dietitian
- Bala Cynwyd, PA
National Provider Identifier
1811479280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006471
- Practice address
- 150 Monument Rd Ste 207
Bala Cynwyd, PA 19004 - Phone
- (800) 203-8657
- Fax
- (800) 258-1426
- NPI assigned
- Sep 3, 2018
- 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 | DN006471 | PA | Primary |
Addresses
Primary practice location
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004
Mailing address
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN006471 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535932800000",
"number": "1811479280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MONUMENT RD STE 207",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "800-203-8657",
"fax_number": "800-258-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MONUMENT RD STE 207",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "800-203-8657",
"fax_number": "800-258-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNISTER",
"first_name": "ASHLEY",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-03",
"last_updated": "2018-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.