Active NPI
Jillian O Heimiller, RDN, LDN
- Registered Dietitian
- Warwick, RI
National Provider Identifier
1255670352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00739
- Practice address
- 434 Red Chimney Dr
Warwick, RI 02886-9522 - Phone
- (401) 529-7925
- NPI assigned
- Feb 8, 2013
- 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 | LDN00739 | RI | Primary |
Addresses
Primary practice location
434 Red Chimney Dr
Warwick, RI 02886-9522
Mailing address
434 Red Chimney Dr
Warwick, RI 02886-9522
Phone (401) 529-7925
Other names 1
- Jillian K Ouhrabka
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN00739 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Restorative Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1255670352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 RED CHIMNEY DR",
"city": "WARWICK",
"state": "RI",
"postal_code": "028869522",
"telephone_number": "401-529-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 RED CHIMNEY DR",
"city": "WARWICK",
"state": "RI",
"postal_code": "028869522",
"telephone_number": "401-529-7925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMILLER",
"first_name": "JILLIAN",
"middle_name": "O",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-08",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "OUHRABKA",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.