Individual provider Active NPI

Heidi Rose Hellebusch, RDN

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1386529055
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2025031654 Issued in MO
Practice address
1020 N Mason Rd Ste 200
Saint Louis, MO 63141-6300
Phone
(314) 996-3140
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2025031654 MO Primary

Addresses

Primary practice location

1020 N Mason Rd Ste 200
Saint Louis, MO 63141-6300

Mailing address

128 Janey LN
Pacific, MO 63069-1241
Phone (636) 432-2494

Other names 1

  • Heidi Rose Obermark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250927000425 MO Practitioner - Registered Dietitian Or Nutrition Professional 3678078706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Care Institute Affiliated Services LLCGroup PAC ID 2668368564, 13 clinicians

Practice addresses (Care Compare)

1020 N Mason Rd
200 Hcia Cardiac Rehab
Creve Coeur, MO 63141-6300
Phone (314) 996-3140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025031654MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care Institute Affiliated Services, LLC CurrentSince Sep 1, 2025 Accepting new patients
Heart Care Institute Affiliated Services, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1020 N Mason Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 996-3140

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1386529055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 JANEY LN",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691241",
            "telephone_number": "636-432-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MASON RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416300",
            "telephone_number": "314-996-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLEBUSCH",
        "first_name": "HEIDI",
        "middle_name": "ROSE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2025031654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "OBERMARK",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.