Active NPI
Heidi Andeberg, RD, LD
- Registered Dietitian
- Des Moines, IA
National Provider Identifier
1083701817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01695
- Practice address
- 1111 6TH St
Des Moines, IA 50314 - Phone
- (515) 643-0078
- Fax
- (515) 643-0996
- NPI assigned
- Oct 5, 2006
- 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 | 01695 | IA | Primary |
Addresses
Primary practice location
1111 6TH St
Des Moines, IA 50314
Mailing address
1055 6TH Ave
Suite 200
Des Moines, IA 50314
Phone (515) 643-8672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01695 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083701817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 6TH AVE",
"address_2": "SUITE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50314",
"telephone_number": "515-643-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50314",
"telephone_number": "515-643-0078",
"fax_number": "515-643-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDEBERG",
"first_name": "HEIDI",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.