Active NPI
Heather Mary Preece, MHSC, RD, LD
- Pediatric Nutrition Registered Dietitian
- Kodiak, AK
National Provider Identifier
1447360466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 21
- Practice address
- 1915 E Rezanof Dr
Kodiak, AK 99615-6602 - Phone
- (907) 486-3281
- Fax
- (907) 486-9546
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 21 | AK | Primary |
Addresses
Primary practice location
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Mailing address
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone (907) 486-3281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT0682 | Medicaid | AK | |
| 21 | Other | AK | ALASKA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21 | AK | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447360466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 E REZANOF DR",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156602",
"telephone_number": "907-486-3281",
"fax_number": "907-486-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 E REZANOF DR",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156602",
"telephone_number": "907-486-3281",
"fax_number": "907-486-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREECE",
"first_name": "HEATHER",
"middle_name": "MARY",
"credential": "MHSC, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "AK",
"license": "21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DT0682",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA STATE LICENSE",
"identifier": "21",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.