Individual provider Active NPI

Heidi Ann Kleinhans, R.D.

  • Pediatric Nutrition Registered Dietitian
  • Reno, NV
National Provider Identifier
1386899748
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
32885-DI-2 Issued in NV
Practice address
75 Pringle Way Ste 505
Reno, NV 89502
Phone
(775) 982-5437
Fax
(775) 982-3895
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 837989 NV
Pediatric Nutrition Registered Dietitian 133VN1004X 32885-DI-2 NV Primary

Addresses

Primary practice location

75 Pringle Way Ste 505
Reno, NV 89502

Mailing address

1155 Mill St # Ms 14
Reno, NV 89502-1576
Phone (775) 982-5262

Other names 1

  • Heidi Ann Shoemaker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000822 NV Practitioner - Registered Dietitian Or Nutrition Professional 2163664152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Oct 1, 2018 Accepting new patients
Community Care Services LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

1155 Mill St
#14
Reno, NV 89502

1155 Mill St
Fl 5
Reno, NV 89502
Phone (775) 982-5123

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

75 Pringle Way
Ste 505
Reno, NV 89502
Phone (775) 786-7216

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

850 Harvard Way
Reno, NV 89502

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1386899748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MS 14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 505",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-982-5437",
            "fax_number": "775-982-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINHANS",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "837989",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NV",
            "license": "32885-DI-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SHOEMAKER",
            "middle_name": "ANN",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.