Active NPI
Haley Maturin, MS, RD, LDN
- Registered Dietitian
- Hampton, TN
National Provider Identifier
1831798990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2608
- Practice address
- 145 Hopson Private Dr
Hampton, TN 37658-3068 - Phone
- (337) 501-4862
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1972 | SC | |
| Registered Dietitian | 133V00000X | 2608 | TN | Primary |
Addresses
Primary practice location
145 Hopson Private Dr
Hampton, TN 37658-3068
Mailing address
145 Hopson Private Dr
Hampton, TN 37658-3068
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 |
|---|---|---|---|
| 1972 | SC | MD | Registered Dietitian |
| 2608 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1831798990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HOPSON PRIVATE DR",
"city": "HAMPTON",
"state": "TN",
"postal_code": "376583068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOPSON PRIVATE DR",
"city": "HAMPTON",
"state": "TN",
"postal_code": "376583068",
"telephone_number": "337-501-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATURIN",
"first_name": "HALEY",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "1972",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "2608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.