Individual provider Active NPI

Mary Carter

  • Registered Dietitian
  • Prairie Village, KS
National Provider Identifier
1891126579
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1870 Issued in KS
Practice address
7620 State Line Rd
Prairie Village, KS 66208-3705
Phone
(913) 383-8303
NPI assigned
Dec 6, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1870KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy Vee Health of Kansas PA CurrentSince Dec 1, 2024 Accepting new patients
Hy Vee Health of Kansas PA Dietitian, Registered CurrentSince Dec 1, 2024 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.

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.

Verify at the official NPI Registry.