Heidi Beth Bennett, RD – Registered Dietitian

Key facts

NPI: 1376011643
Entity type: Individual (NPI type 1)
Primary specialty: Registered Dietitian 133V00000X
License: 946691 (WI)
Practice address: 5435 Citrus Colony Rd
Loomis, CA 95650-8926
Phone: (530) 401-8509
NPI assigned: Nov 5, 2018
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Nourish, Inc. Registered Dietitian · Austin, TX · NPI 1558097824

NPD (past) DIETITIAN, REGISTERED

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
946691	WI	MD	Registered Dietitian

Practice roles

Organization	Specialty	Status	New patients
Nourish, Inc.	Dietitian, Registered	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Dietitian	133V00000X	946691	WI	Yes

Addresses

Primary practice location

5435 Citrus Colony Rd
Loomis, CA 95650-8926

Mailing address

5435 Citrus Colony Rd
Loomis, CA 95650-8926
Phone (530) 401-8509

Other identifiers

Identifier	Type	State	Issuer
946691	Other		COMMISSION ON DIETETIC REGISTRATION

Other names

Heidi Beth Laundrie Former name

Other providers in Loomis, CA

All providers in Loomis, 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 Nov 5, 2018. 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.

Verify at the official NPI Registry.