Heather Wilson, M.ED, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2077 Issued in MA

Practice address

14 Gayle St
Woburn, MA 01801-5307

Phone

(508) 689-8910

NPI assigned

Aug 5, 2019

Last updated

Aug 5, 2019By 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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minuteman Senior Services, Inc.

  • Case Management Agency
  • Burlington, MA
  • NPI 1154453371
  Medicare reassignment NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1588219844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GAYLE ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018015307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GAYLE ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018015307",
            "telephone_number": "508-689-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "credential": "M.ED, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh Williams
• Clara Orozco Williams, DVM
• Junibell Williams
• Khaleela Willingham, PT, DPT
• Leigh Wilmot
• Jayne Wilson, LICSW
• Kenneth I Wilson, PSY.D.
• Winchester Chiropractic Center, LLC
• Winchester Hospital
• Winchester Hospital - Shields MRI LLC

• Registered Dietitian in Woburn, MA
• Providers in Woburn, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.