Active NPI
Heather M. Petty, RD
- Registered Dietitian
- Billings, MT
National Provider Identifier
1093815714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 352
- Practice address
- 2825 8TH Ave N
Billings, MT 59101-0909 - Phone
- (406) 238-2500
- NPI assigned
- Sep 23, 2006
- Last updated
- May 12, 2017
- 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 | 352 | MT | Primary |
Addresses
Primary practice location
2825 8TH Ave N
Billings, MT 59101-0909
Mailing address
2900 10TH Ave N
Billings, MT 59101-0720
Phone (406) 238-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000298188 | Other | MT | BCBS PIN |
| 0280398 | Other | MT | MDCD PIN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1093815714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 10TH AVE N",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010720",
"telephone_number": "406-238-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 8TH AVE N",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010909",
"telephone_number": "406-238-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "HEATHER",
"middle_name": "M.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "000298188",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "0280398",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.