Active NPI
Isabelle Hammack-Traille, RD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1962246843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3724 Jefferson St Ste 104
Austin, TX 78731-6204 - Phone
- (512) 692-7045
- NPI assigned
- Jun 24, 2024
- Last updated
- Jun 24, 2024
- 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 | NU | Primary |
Addresses
Primary practice location
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Mailing address
1286 Belleau St
San Leandro, CA 94579-2322
Other practice location 1
1286 Belleau St
San Leandro, CA 94579-2322
Phone (510) 853-2710
Other names 1
- Isabelle Hammack
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1962246843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1286 BELLEAU ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945792322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316204",
"telephone_number": "512-692-7045"
}
],
"practiceLocations": [
{
"address_1": "1286 Belleau St",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945792322",
"country_code": "US",
"telephone_number": "510-853-2710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMACK-TRAILLE",
"first_name": "ISABELLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ISABELLE",
"last_name": "HAMMACK",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.