Individual provider Active NPI

Heidi E Knab, RD.,LD

  • Registered Dietitian
  • Tequesta, FL
National Provider Identifier
1104078039
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
133V0000X Issued in FL
Practice address
166 Chapel LN
Tequesta, FL 33469-2194
Phone
(561) 352-7162
Fax
(866) 594-1236
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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 133V0000X FL Primary

Addresses

Primary practice location

166 Chapel LN
Tequesta, FL 33469-2194

Mailing address

166 Chapel LN
Tequesta, FL 33469-2194
Phone (561) 352-7162

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

LicenseStateTypeSpecialty
133V0000XFLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1104078039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CHAPEL LN",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692194",
            "telephone_number": "561-352-7162",
            "fax_number": "866-594-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 CHAPEL LN",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692194",
            "telephone_number": "561-352-7162",
            "fax_number": "866-594-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAB",
        "first_name": "HEIDI",
        "middle_name": "E",
        "credential": "RD.,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "133V0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.