Active NPI
Raegan Heanssler, M.S., R.D., L.D.
- Registered Dietitian
- Augusta, ME
National Provider Identifier
1720091028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 846555
- Practice address
- VA Medical Center
1 VA Center
Augusta, ME 04330 - Phone
- (207) 623-8411
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 846555 | Primary |
Addresses
Primary practice location
VA Medical Center
1 VA Center
Augusta, ME 04330
Mailing address
60 Marble Point Rd
Mount Vernon, ME 04352
Phone (207) 495-3356
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720091028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MARBLE POINT RD",
"city": "MOUNT VERNON",
"state": "ME",
"postal_code": "04352",
"telephone_number": "207-495-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER",
"address_2": "1 VA CENTER",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "04330",
"telephone_number": "207-623-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEANSSLER",
"first_name": "RAEGAN",
"name_prefix": "Ms.",
"credential": "M.S., R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "846555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
- Beverly Ann Hayward, RN-BC
- Christopher Thomas Healey, M.D.
- Glenn Andrew Healey, MD
- Healthdirect Institutional Pharmacy Services Inc
- Healthy Family Services of Maine Inc. (HFSM Inc.)
- Hearing Health Me LLC
- Hearing Healthcare Associates, Inc.
- Hearing Wellness Centers of Maine
- Hearts for Healthcare
- Ralph Waltz Heath, FNP-C
Sources for this page
- 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.