Active NPI
Danielle J Hildreth, RD, CPT
- Registered Dietitian
- Fargo, ND
National Provider Identifier
1992393052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86058774
- Practice address
- 1606 53Rd Ave S
Fargo, ND 58104-6304 - Phone
- (701) 367-1955
- NPI assigned
- Jan 5, 2021
- 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 | 86058774 | ND | Primary |
Addresses
Primary practice location
1606 53Rd Ave S
Fargo, ND 58104-6304
Mailing address
1606 53Rd Ave S
Fargo, ND 58104-6304
Phone (701) 367-1955
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Fargo | Health Information Exchange (HIE) | Teladoc Health Medical Group, P.A. |
| CONNECT URL | Lewisville | Teladoc Health Medical Group, P.A. |
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 |
|---|---|---|---|
| 86058774 | ND | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1992393052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 53RD AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581046304",
"telephone_number": "701-367-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 53RD AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581046304",
"telephone_number": "701-367-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDRETH",
"first_name": "DANIELLE",
"middle_name": "J",
"credential": "RD, CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ND",
"license": "86058774",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Fargo",
"affiliation": "Y",
"affiliationName": "Teladoc Health Medical Group, P.A.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1606 53rd Ave S",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581046304",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lewisville",
"affiliation": "Y",
"affiliationName": "Teladoc Health Medical Group, P.A.",
"address_1": "1945 Lakepointe Dr",
"city": "Lewisville",
"state": "TX",
"country_code": "US",
"postal_code": "750576424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.