Active NPI
Hannah Hallor, AT, RDN
- Registered Dietitian
- Peoria, IL
National Provider Identifier
1922555473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1801 E Crestwood Dr
Peoria, IL 61614-7911 - Phone
- (937) 626-8675
- NPI assigned
- Sep 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004975 | OH | |
| Registered Dietitian | 133V00000X | IL | Primary |
Addresses
Primary practice location
1801 E Crestwood Dr
Peoria, IL 61614-7911
Mailing address
1801 E Crestwood Dr
Peoria, IL 61614-7911
Phone (937) 626-8675
Other practice location 1
Miami Valley Drive
Suite 320
Centerville, OH 45459
Phone (937) 208-8000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004975 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1922555473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E CRESTWOOD DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147911",
"telephone_number": "937-626-8675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E CRESTWOOD DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147911",
"telephone_number": "937-626-8675"
}
],
"practiceLocations": [
{
"address_1": "Miami Valley Drive",
"address_2": "Suite 320",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "45459",
"country_code": "US",
"telephone_number": "937-208-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLOR",
"first_name": "HANNAH",
"credential": "AT, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "004975",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.