Active NPI
Amanda Rae Hartley, RD,LD
- Registered Dietitian
- Martins Ferry, OH
National Provider Identifier
1932455169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.6684
- Practice address
- 90 N 4TH St
Martins Ferry, OH 43935-1648 - Phone
- (740) 633-1100
- NPI assigned
- Jul 25, 2012
- Last updated
- Apr 9, 2013
- 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 | LD.6684 | OH | Primary |
Addresses
Primary practice location
90 N 4TH St
Martins Ferry, OH 43935-1648
Mailing address
2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8663
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 |
|---|---|---|---|
| LD.6684 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1932455169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-8663",
"fax_number": "304-234-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 N 4TH ST",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "439351648",
"telephone_number": "740-633-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "AMANDA",
"middle_name": "RAE",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.6684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martins Ferry, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.