Individual provider Active NPI

Heather Waldie, R.D.

  • Registered Dietitian
  • North Andover, MA
National Provider Identifier
1225471840
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4044 Issued in MA
Practice address
60 Water St Apt 3003
North Andover, MA 01845-2577
Phone
(978) 494-0110
NPI assigned
Apr 12, 2013
Last updated
Apr 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 933795 CA
Registered Dietitian 133V00000X 4044 MA Primary

Addresses

Primary practice location

60 Water St Apt 3003
North Andover, MA 01845-2577

Mailing address

60 Water St Apt 3003
North Andover, MA 01845-2577
Phone (978) 494-0110

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
933795CAMDRegistered Dietitian
4044MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hew Inc Dietitian, Registered Current Accepting new patients

Organizations & group practices 1

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1225471840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WATER ST APT 3003",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452577",
            "telephone_number": "978-494-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WATER ST APT 3003",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452577",
            "telephone_number": "978-494-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDIE",
        "first_name": "HEATHER",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "933795",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.