Heidi Stout, RDN
Individual provider Active NPI Registered Dietitian · Pinon Hills, CA
NPI 1265057012 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1265057012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1020603 (CA)
- Practice address
- 9948 Oasis Rd
Pinon Hills, CA 92372 - Phone
- (760) 912-9371
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020603 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1020603 | CA | Yes |
Addresses
Primary practice location
9948 Oasis Rd
Pinon Hills, CA 92372
Mailing address
PO Box 721204
Pinon Hills, CA 92372-1204
Phone (760) 912-9371
Other providers in Pinon Hills, CA
- Monique Clerisse
- Cognitive Insight Inc
- Jennifer Ann Martin
- Olive Branch Birth
- Abby Stephens
- Tiffany Beate Vallender
All providers in Pinon Hills, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.