Active NPI
Rebecca Katherine Heanssler, RD
- Registered Dietitian
- Dover, NH
National Provider Identifier
1174287635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1250
- Practice address
- 55 New Rochester Rd Apt 2
Dover, NH 03820-2161 - Phone
- (774) 633-0730
- NPI assigned
- Oct 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 1250 | NH | Primary |
Addresses
Primary practice location
55 New Rochester Rd Apt 2
Dover, NH 03820-2161
Mailing address
55 New Rochester Rd Apt 2
Dover, NH 03820-2161
Phone (774) 633-0730
Other names 1
- Rebecca Katherine Goodell
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 |
|---|---|---|---|
| 1250 | NH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635638400000",
"number": "1174287635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 NEW ROCHESTER RD APT 2",
"city": "DOVER",
"state": "NH",
"postal_code": "038202161",
"telephone_number": "774-633-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 NEW ROCHESTER RD APT 2",
"city": "DOVER",
"state": "NH",
"postal_code": "038202161",
"telephone_number": "774-633-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEANSSLER",
"first_name": "REBECCA",
"middle_name": "KATHERINE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-29",
"last_updated": "2021-10-31",
"certification_date": "2021-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "GOODELL",
"middle_name": "KATHERINE",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.