Heidie Lish, MPH, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

984434 Issued in MN

Practice address

3401 Brunswick Ave S
St Louis Park, MN 55416-2307

Phone

(612) 245-0699

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1841015757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BRUNSWICK AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162307",
            "telephone_number": "612-245-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BRUNSWICK AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162307",
            "telephone_number": "612-245-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISH",
        "first_name": "HEIDIE",
        "credential": "MPH, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "984434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet G Lindquist, NNP
• Kristen Mary Lindstrom, CNP
• Jonathan Lineer, MD
• Laura Linner, A.M., LICSW
• Elina Lipovskiy, D.O.
• Melissa R Livingston, OTR/L
• Mark Lobanoff, M.D.
• Kaitlyn Locker
• George Logan
• William Gerald Loomis, D.C.

• Registered Dietitian in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.