Individual provider Active NPI

Heather Diane Gabbert, MS, RD, CD, LD

  • Registered Dietitian
  • Spokane, WA
National Provider Identifier
1053646786
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI 60041578 Issued in WA
Practice address
601 S Sherman St
Spokane, WA 99202-1311
Phone
(509) 228-1000
Fax
(509) 252-9300
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI 60041578 WA Primary

Addresses

Primary practice location

601 S Sherman St
Spokane, WA 99202-1311

Mailing address

PO Box 3868
Spokane, WA 99220-3868
Phone (509) 228-1000

Other identifiers 1

IdentifierTypeStateIssuer
P00952817OtherWARAILROAD MEDICARE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI 60041578WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1053646786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3868",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203868",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SHERMAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021311",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBERT",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "credential": "MS, RD, CD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60041578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00952817",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.