Active NPI
Gretchen Hartman, RD, CDN
- Registered Dietitian
- Harris, NY
National Provider Identifier
1891425401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010453-01
- Practice address
- 840 Benmosche Road
Harris, NY 12742 - Phone
- (845) 797-1400
- NPI assigned
- Jun 15, 2022
- Last updated
- Jun 15, 2022
- 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 | 010453-01 | NY | Primary |
Addresses
Primary practice location
840 Benmosche Road
Harris, NY 12742
Mailing address
PO Box 840
Harris, NY 12742-0840
Phone (845) 797-8382
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 |
|---|---|---|---|
| 010453-01 | NY | MD | Registered Dietitian |
| 010453 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1891425401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840",
"city": "HARRIS",
"state": "NY",
"postal_code": "127420840",
"telephone_number": "845-797-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 BENMOSCHE ROAD",
"city": "HARRIS",
"state": "NY",
"postal_code": "12742",
"telephone_number": "845-797-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "GRETCHEN",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010453-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harris, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.