Judith Darlene Heesacker, MS, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001032 Issued in WA

Practice address

518 N Pine St
Suite 102
Ellensburg, WA 98926-3196

Phone

(509) 933-2838

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447349469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N PINE ST",
            "address_2": "SUITE 102",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263196",
            "telephone_number": "509-933-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N PINE ST",
            "address_2": "SUITE 102",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263196",
            "telephone_number": "509-933-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEESACKER",
        "first_name": "JUDITH",
        "middle_name": "DARLENE",
        "credential": "MS, RD, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "816310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE CD",
            "identifier": "DI00001032",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trista Hawley
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• Heartstone Cottages LLC
• Lauren Hedlund, RD
• Tionna Laplez Helland
• Hendrika Mather M.S., Inc., P.S.
• James Scott Heppler, M.D.
• Scott Hereford
• Bruce A Herman, M.D.

• Registered Dietitian in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.