Judith Darlene Heesacker in Ellensburg - Dietitian, Registered
Judith Darlene Heesacker - NPI 1447349469
Judith Darlene Heesacker is a Dietitian, Registered in Ellensburg, Washington. Judith Darlene Heesacker practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Judith Darlene Heesacker is 1447349469. The last update date is 2007-07-08.
Judith Darlene Heesacker's current location address is 518 N Pine St, Ellensburg, Washington. You can contact this provider via phone number 5099332838. The mailing address for Judith Darlene Heesacker is 518 N Pine St, Ellensburg, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Darlene Heesacker |
|---|---|
| Address | 518 N Pine St, Ellensburg, Washington |
| Phone Number | 5099332838 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, RD, CD |
NPI Number Detail
| NPI Number | 1447349469 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 518 N Pine St |
|---|---|
| City | Ellensburg |
| State | Washington (WA) |
| Post Code | 989263196 |
| Phone Number | 5099332838 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | DI00001032 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 816310 | CDR | ||
| DI00001032 | WA | STATE LICENSE CD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Judith Darlene Heesacker by the Centers for Medicare & Medicaid Services?
The Judith Darlene Heesacker has been assigned the NPI (National Provider Identifier) 1447349469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Judith Darlene Heesacker is located?
The Judith Darlene Heesacker is situated at the following address: 518 N Pine St, Ellensburg, WA, 989263196.
What is Judith Darlene Heesacker's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith Darlene Heesacker's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447349469 to Judith Darlene Heesacker?
The Judith Darlene Heesacker received its 1447349469 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information regarding Judith Darlene Heesacker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Judith Darlene Heesacker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA