Active NPI
Madeline Hastings, LDN, RDN
- Registered Dietitian
- Royal Oak, MI
National Provider Identifier
1922718840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86057637
- Practice address
- 4162 Arlington Dr
Royal Oak, MI 48073-6302 - Phone
- (248) 891-2359
- NPI assigned
- Dec 1, 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 | 86057637 | MI | Primary |
Addresses
Primary practice location
4162 Arlington Dr
Royal Oak, MI 48073-6302
Mailing address
4162 Arlington Dr
Royal Oak, MI 48073-6302
Phone (248) 891-2359
Other names 1
- Madeline Rene Longville
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 |
|---|---|---|---|
| 86057637 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Dietitian, Registered | Current | Accepting new patients |
Interoperability endpoints
- madelinehastings@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1922718840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4162 ARLINGTON DR",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736302",
"telephone_number": "248-891-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4162 ARLINGTON DR",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736302",
"telephone_number": "248-891-2359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "MADELINE",
"credential": "LDN, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86057637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "LONGVILLE",
"middle_name": "RENE",
"credential": "LDN, RDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.