Heather Lynn Burchall, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

925736 Issued in CO

Practice address

141 W 22ND St Ste 210
Anderson, IN 46016-4389

Phone

(765) 646-8795

NPI assigned

Oct 11, 2012

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Lynn Bukowy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1477805646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W 22ND ST STE 210",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W 22ND ST STE 210",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164389",
            "telephone_number": "765-646-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053870",
            "country_code": "US",
            "telephone_number": "714-288-3230",
            "fax_number": "714-571-7719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815062863",
            "country_code": "US",
            "telephone_number": "970-245-1220",
            "fax_number": "970-245-9148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 Crown Valley Pkwy Ste 435",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918023",
            "country_code": "US",
            "telephone_number": "714-618-9500",
            "fax_number": "714-618-9550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 W Imperial Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928213812",
            "country_code": "US",
            "telephone_number": "714-449-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHALL",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "925736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BUKOWY",
            "middle_name": "LYNN",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Brumfield
• Amy Buck-Boyer, BCBA
• Craig E Buckles, MD
• Matthew Robinson Buckley, PHARMD
• Jarrad Buckner
• Lina L Burkhart, PHD
• Linda Sue Burns, MD
• Alicia Burress, LCSW
• Paris Burt, RBT
• Rodneshia Burt

• Registered Dietitian in Anderson, IN
• Providers in Anderson, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.