Carly Hart, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2900 Expo Pkwy Apt 213
Missoula, MT 59808-8782

Phone

(406) 240-9244

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1972279529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD # 538",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EXPO PKWY APT 213",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088782",
            "telephone_number": "406-240-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "CARLY",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laiken Nicole Harris
• Lynn V Harris, AUD CCC SPA
• Travis Lee Harris, P.A.
• John Robert Harrison, PHD
• Kate Harrison
• Torrye Hart
• Jared Hartley, DPT
• Amanda C Hartman, MD
• McKayla Hartung
• Jennifer L Hartze, AUD

• Registered Dietitian in Missoula, MT
• Providers in Missoula, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.