Active NPI
Mary Porter Harvey, RDN, LD
- Pediatric Nutrition Registered Dietitian
- Mobile, AL
National Provider Identifier
1902580673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 1301
- Practice address
- 1601 Center St
Mobile, AL 36604-1541 - Phone
- (251) 410-5437
- Fax
- (251) 434-3802
- NPI assigned
- Jun 13, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 1301 | AL | Primary |
Addresses
Primary practice location
1601 Center St
Mobile, AL 36604-1541
Mailing address
PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057
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 |
|---|---|---|---|
| 1301 | AL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1902580673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746450",
"telephone_number": "866-401-3057",
"fax_number": "318-868-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CENTER ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041541",
"telephone_number": "251-410-5437",
"fax_number": "251-434-3802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "MARY",
"middle_name": "PORTER",
"name_prefix": "Ms.",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "AL",
"license": "1301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.