Individual provider Active NPI

Heather Fiore, MS ED, RD, LD, CDE

  • Registered Dietitian
  • Lawrence, KS
National Provider Identifier
1801079116
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2721 W 6TH St Ste F
Lawrence, KS 66049-4306
Phone
(785) 331-6435
Fax
(585) 332-4116
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2721 W 6TH St Ste F
Lawrence, KS 66049-4306

Mailing address

3308 Tomahawk Dr
Lawrence, KS 66049-1928
Phone (785) 331-6435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119000720 KS Practitioner - Registered Dietitian Or Nutrition Professional 8527440601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3308 Tomahawk Dr
Lawrence, KS 66049-1928
Phone (785) 331-6435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Free State Nutrition Dietitian, Registered CurrentSince Sep 21, 2024 Accepting new patients

Locations

4921 W 18th St
Lawrence, KS 66047
Phone (785) 830-0100

2721 W 6th St
Ste E
Lawrence, KS 66049
Phone (785) 200-3535

2721 W 6th St
Ste F
Lawrence, KS 66049
Phone (785) 331-6435

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1801079116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 TOMAHAWK DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491928",
            "telephone_number": "785-331-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W 6TH ST STE F",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494306",
            "telephone_number": "785-331-6435",
            "fax_number": "585-332-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "MS ED, RD, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.