Organization Active NPI

Heather Reymunde Wittmer, Registered Dietitian Nutritionist, LLC

  • Registered Dietitian
  • Mountain Top, PA
National Provider Identifier
1760109318
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HEATHER REYMUNDE WITTMER, REGISTERED DIETITIAN NUTRITIONIST, LLC
Practice address
359 S Mountain Blvd
Mountain Top, PA 18707-1984
Phone
(570) 709-5909
Fax
(866) 839-4061
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Heather Reymunde Wittmer, MS RDN LDNNPI 1609488659
Title
Ceo/Registered Dietitian
Phone
(570) 709-5909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

359 S Mountain Blvd
Mountain Top, PA 18707-1984

Mailing address

63 Aleksander Blvd
Mountain Top, PA 18707-9236
Phone (570) 709-5909

Other practice location 1

63 Aleksander Blvd
Mountain Top, PA 18707-9236
Phone (570) 709-5909

Other identifiers 3

IdentifierTypeStateIssuer
86104089OtherPACDR REGISTRATION #
DN007247OtherPALICENSURE
1609488659OtherPAINDIVIDUAL NPI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://secure.gethealthie.com/users/sign_up/clients?dietitian_id=739769 Health Information Exchange (HIE)
CONNECT URL https://secure.gethealthie.com/users/sign_up/clients?dietitian_id=739769 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

359 S Mountain Blvd
Mountain Top, PA 18707
Phone (570) 359-7303

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1760109318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ALEKSANDER BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079236",
            "telephone_number": "570-709-5909",
            "fax_number": "866-839-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 S MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071984",
            "telephone_number": "570-709-5909",
            "fax_number": "866-839-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Aleksander Blvd",
            "address_purpose": "LOCATION",
            "city": "Mountain Top",
            "state": "PA",
            "postal_code": "187079236",
            "country_code": "US",
            "telephone_number": "570-709-5909",
            "fax_number": "866-839-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEATHER REYMUNDE WITTMER, REGISTERED DIETITIAN NUTRITIONIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "REYMUNDE WITTMER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "570-709-5909",
        "authorized_official_credential": "MS RDN LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR REGISTRATION #",
            "identifier": "86104089",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "DN007247",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1609488659",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.gethealthie.com/users/sign_up/clients?dietitian_id=739769",
            "affiliation": "N",
            "endpointDescription": "EHR - Healthie",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Charting, Coordination of Care",
            "address_1": "359 S Mountain Blvd",
            "city": "Mountain Top",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187071984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.gethealthie.com/users/sign_up/clients?dietitian_id=739769",
            "affiliation": "N",
            "endpointDescription": "EHR- Healthie",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Charting/Coordination",
            "address_1": "63 Aleksander Blvd",
            "city": "Mountain Top",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187079236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Top, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.