Active NPI
Mary Carter
- Registered Dietitian
- Prairie Village, KS
National Provider Identifier
1891126579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1870
- Practice address
- 7620 State Line Rd
Prairie Village, KS 66208-3705 - Phone
- (913) 383-8303
- NPI assigned
- Dec 6, 2013
- Last updated
- Dec 6, 2013
- 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 | 1870 | KS | Primary |
Addresses
Primary practice location
7620 State Line Rd
Prairie Village, KS 66208-3705
Mailing address
7620 State Line Rd
Prairie Village, KS 66208-3705
Phone (913) 383-8303
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 |
|---|---|---|---|
| 1870 | KS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy Vee Health of Kansas PA | Current | Accepting new patients | |
| Hy Vee Health of Kansas PA | Dietitian, Registered | Current | Accepting new patients |
| Hy-Vee Health PC | Past | Accepting new patients | |
| Hy-Vee Health PC | Dietitian, Registered | Past | Accepting new patients |
Locations
5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784
3504 Clinton Pkwy
Lawrence, KS 66047
Phone (785) 832-0044
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lawrence, KS
- NPI 1306660253
-
- Internal Medicine Physician
- West Des Moines, IA
- NPI 1558086637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1891126579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7620 STATE LINE RD",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083705",
"telephone_number": "913-383-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7620 STATE LINE RD",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083705",
"telephone_number": "913-383-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.