Heather Rudalavage Rd LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004094 Issued in PA

Legal business name

HEATHER RUDALAVAGE RD LDN

Practice address

1023 Hawthorne LN
Fort Washington, PA 19034-1736

Phone

(215) 643-3572

NPI assigned

Oct 24, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Heather E Rudalavage, RDNPI 1265734917

Title

Owner/President

Phone

(215) 643-3572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intuitive Nutrition Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Rudalavage, RD, LDN

  • Registered Dietitian
  • Fort Washington, PA
  • NPI 1265734917

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1740566751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 HAWTHORNE LN",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341736",
            "telephone_number": "215-643-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 HAWTHORNE LN",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341736",
            "telephone_number": "215-643-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER RUDALAVAGE RD LDN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "RUDALAVAGE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-643-3572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12132775",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intuitive Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rubina Noor Haidar, M.D.
• Victoria Haigh, LAPC, MA
• Harmony Dental Center
• Kyra Haugh, M.S., CCC-SLP
• Healthfleet Ambulance, Inc.
• Catherine Hee, LSW
• Adam Hennessy, PT, DPT
• Joseph Herb, M. A., TEP
• Barbara Hermey, PSY.D
• Kristin Marie Hess, PSY.D.

• Registered Dietitian in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.