Rachel D Heinen, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT83490 Issued in TX

Practice address

8112 Broken Arrow Rd
Fort Worth, TX 76137-1291

Phone

(817) 793-0115

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Rachel D Heinen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1376911651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 BROKEN ARROW RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371291",
            "telephone_number": "817-793-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 BROKEN ARROW RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371291",
            "telephone_number": "817-793-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEN",
        "first_name": "RACHEL",
        "middle_name": "D",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "DT83490",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83490",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT83490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HEINEN",
            "middle_name": "D",
            "credential": "RDN, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Mackenzie Hegg, PA-C
• Catherine Elizabeth Heider, PA-C
• Thomas Luke Heil, MD
• Tyler Ray Heimdal, MD
• Marcia Heineman, OT
• Renata Heinkele, CRNA
• Emma Kate Heisel, DO
• Donald Christopher Heisey, DPT
• Caitlin Lunde Heisler, RD, LD
• Jonathan Barry Heistein, M.D.

• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.