Individual provider Active NPI

Heidi A King, RD

  • Registered Dietitian
  • Munster, IN
National Provider Identifier
1093916611
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
761 45TH Street
Suite 110
Munster, IN 46321-2899
Phone
(219) 922-3020
Fax
(219) 922-3023
NPI assigned
May 30, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 Primary

Addresses

Primary practice location

761 45TH Street
Suite 110
Munster, IN 46321-2899

Mailing address

10949 Swallow Tail LN
Frankfort, IL 60423-2297
Phone (312) 315-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122000258 IL Practitioner - Registered Dietitian Or Nutrition Professional 9335443365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Ohio Medical University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3700 W 203Rd St
Suite 302
Olympia Fields, IL 60461-1182
Phone (708) 679-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Oct 8, 2021 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Oct 8, 2021 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

3700 W 203rd St
Ste 302
Olympia Fields, IL 60461
Phone (708) 679-2120

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

3700 W 203rd St
Ste 310
Olympia Flds, IL 60461
Phone (708) 679-2066

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1093916611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10949 SWALLOW TAIL LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232297",
            "telephone_number": "312-315-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 45TH STREET",
            "address_2": "SUITE 110",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212899",
            "telephone_number": "219-922-3020",
            "fax_number": "219-922-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HEIDI",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.