Active NPI
Heather Michelle Engelman, RD
- Registered Dietitian
- Rockville, MD
National Provider Identifier
1407437775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1419
- Practice address
- 1615 Piccard Dr Ste B
Rockville, MD 20850-6719 - Phone
- (240) 449-3094
- Fax
- (240) 489-4415
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1419 | OK | Primary |
Addresses
Primary practice location
1615 Piccard Dr Ste B
Rockville, MD 20850-6719
Mailing address
10215 N 120TH East Ave
Owasso, OK 74055-2698
Phone (405) 742-7230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1419 | Other | OK | OKLAHOMA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bethesda | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19401 Walter Johnson Rd
Suite 200
Germantown, MD 20874-2601
Phone (240) 335-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1419 | OK | MD | Registered Dietitian |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1407437775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 N 120TH EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740552698",
"telephone_number": "405-742-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 PICCARD DR STE B",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506719",
"telephone_number": "240-449-3094",
"fax_number": "240-489-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELMAN",
"first_name": "HEATHER",
"middle_name": "MICHELLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA LICENSE",
"identifier": "1419",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bethesda",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1615 Piccard Dr Ste B",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "208506719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.