Theresa Hedrick, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10165887 Issued in OR

Practice address

119 S Burrowes St Ste 702
State College, PA 16801-3864

Phone

(814) 263-5460

Fax

(814) 263-1263

NPI assigned

Dec 31, 2017

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Hedrick Food & Nutrition Consulting, LLC

  • Clinic/Center
  • State College, PA
  • NPI 1174145049
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1811404759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 CHARLESTON DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012472",
            "telephone_number": "814-263-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BURROWES ST STE 702",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013864",
            "telephone_number": "814-263-5460",
            "fax_number": "814-263-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 SW C Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973334400",
            "country_code": "US",
            "telephone_number": "541-286-5209",
            "fax_number": "541-286-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "THERESA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-31",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10165887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Valley Chiropractic LLC
• Hearthside Rehab Center LLC
• Hearthside Rehabilitation & Healthcare Center LLC
• Debra A Heckman, CRNA
• Hedrick Food & Nutrition Consulting, LLC
• Heimer Eye Care Assoc. P.C. (Heimer Fiore Turco Eye Care & Surgery, P.C.)
• Jeffrey L Heimer, M.D.
• Corinna Jo Heindel, LSW, LCSW, LICSW
• Dennis E Heitzmann, PHD
• Ashley Donn Helsel, PTA

• Registered Dietitian in State College, PA
• Providers in State College, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.

Verify at the official NPI Registry.