Active NPI
Heidi Renee Lumina, RD, CD, CNSC
- Registered Dietitian
- Hartford, WI
National Provider Identifier
1053889089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2709-29
- Practice address
- 1032 E Sumner St
Hartford, WI 53027-1608 - Phone
- (262) 670-7293
- NPI assigned
- Nov 7, 2018
- 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 | 2709-29 | WI | Primary |
Addresses
Primary practice location
1032 E Sumner St
Hartford, WI 53027-1608
Mailing address
4671 Sonseeahray Dr
Hubertus, WI 53033-9727
Phone (262) 853-1391
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 |
|---|---|---|---|
| 2709-29 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1053889089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4671 SONSEEAHRAY DR",
"city": "HUBERTUS",
"state": "WI",
"postal_code": "530339727",
"telephone_number": "262-853-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 E SUMNER ST",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530271608",
"telephone_number": "262-670-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMINA",
"first_name": "HEIDI",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "RD, CD, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2709-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.