Active NPI
Laura Hartlein, RD
- Registered Dietitian
- Madison, MS
National Provider Identifier
1861914848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 956230
- Practice address
- 118 Depot Dr
Madison, MS 39110-9394 - Phone
- (601) 808-3030
- NPI assigned
- Jul 12, 2017
- Last updated
- Jun 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 956230 | MS | Primary |
Addresses
Primary practice location
118 Depot Dr
Madison, MS 39110-9394
Mailing address
106 Elizabeth Ave
Madison, MS 39110-8373
Phone (601) 278-9666
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 956230 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749945600000",
"number": "1861914848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ELIZABETH AVE",
"city": "MADISON",
"state": "MS",
"postal_code": "391108373",
"telephone_number": "601-278-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 DEPOT DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391109394",
"telephone_number": "601-808-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEIN",
"first_name": "LAURA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2025-06-15",
"certification_date": "2025-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "956230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.