Active NPI
Heather Noel Heberle, RD, LD
- Metabolic Nutrition Registered Dietitian
- Jefferson City, MO
National Provider Identifier
1831341494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 976434
- Practice address
- 1125 Madison
Jefferson City, MO 65101 - Phone
- (573) 632-5500
- Fax
- (573) 632-5879
- NPI assigned
- Oct 15, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 976434 | MO | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 976434 | MO | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 976434 | MO | Primary |
Addresses
Primary practice location
1125 Madison
Jefferson City, MO 65101
Mailing address
1125 Madison
Jefferson City, MO 65101
Phone (573) 632-5500
Other names 1
- Heather Noel Buschmeyer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 976434 | MO | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1831341494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 MADISON",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65101",
"telephone_number": "573-632-5500",
"fax_number": "573-632-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 MADISON",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65101",
"telephone_number": "573-632-5500",
"fax_number": "573-632-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERLE",
"first_name": "HEATHER",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "MO",
"license": "976434",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "MO",
"license": "976434",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MO",
"license": "976434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "BUSCHMEYER",
"middle_name": "NOEL",
"credential": "RD, LD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.