Heather J Endries, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

961400 Issued in WI

Practice address

611 N Saint Joseph Ave
Marshfield, WI 54449-1832

Phone

(715) 387-9587

NPI assigned

Dec 3, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Heather J Geldernick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1144790205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N SAINT JOSEPH AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N SAINT JOSEPH AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491832",
            "telephone_number": "715-387-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRIES",
        "first_name": "HEATHER",
        "middle_name": "J",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "961400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GELDERNICK",
            "middle_name": "J",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sabri Elamin Abbas Elkhidir, MD
• Sarah Ashley Elkins, DPT
• Parker Andrew Eller, DDS
• Miles Ellsworth, SRNA
• Carol Emanuel
• Krystle Jordan Endries, RD
• Kenneth E Engelhart, MD
• Regen Jeannine Erickson, RN
• Scott S Erickson, MD
• Ramon A Espada, MD

• Registered Dietitian in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.