Heather Green, NUTRITIONAL EDUCATOR

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

6612 Casiano CV
Round Rock, TX 78665-4407

Phone

(401) 256-0824

NPI assigned

Feb 23, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1316486384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786801600",
            "telephone_number": "401-256-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 CASIANO CV",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654407",
            "telephone_number": "401-256-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HEATHER",
        "credential": "NUTRITIONAL EDUCATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Oaks Family Practice, PA
• Greater Austin Allergy, Asthma & Immunology PA
• Greater Texas Neuromonitoring LLC
• Green Couch Counseling, PLLC
• Alyssa Green, MS RD LD
• Jason Green, RBT
• Kaitlynn Beth Green, RBT
• Kelsey Patricia Green, PT, DPT
• Kristle Green, PHARMD.
• Rachel Lindsay Green, DPT

• Nutrition Education Nutritionist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Nutrition Education Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.