Active NPI
Heidi J. Haas, RD
- Registered Dietitian
- Dubuque, IA
National Provider Identifier
1609962927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01727
- Practice address
- 1500 Delhi St Ste 2100
Dubuque, IA 52001-6319 - Phone
- (563) 557-9111
- Fax
- (563) 589-4046
- NPI assigned
- Oct 5, 2006
- Last updated
- Apr 6, 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 | 01727 | IA | Primary |
Addresses
Primary practice location
1500 Delhi St Ste 2100
Dubuque, IA 52001-6319
Mailing address
1515 Delhi St
Ste 100
Dubuque, IA 52001-6320
Phone (563) 557-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061130000421 | IA | Practitioner - Registered Dietitian Or Nutrition Professional | 2264430172 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01727 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1609962927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 DELHI ST",
"address_2": "STE 100",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016320",
"telephone_number": "563-557-9111",
"fax_number": "563-589-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DELHI ST STE 2100",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016319",
"telephone_number": "563-557-9111",
"fax_number": "563-589-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "HEIDI",
"middle_name": "J.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.