Laura Hickey, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

4035 Milano LN
Longmont, CO 80503-8986

Phone

(303) 435-3274

NPI assigned

Jul 7, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nutrition DynamixGroup PAC ID 3870908916, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nutrition Dynamix, LLC

  • Metabolic Nutrition Registered Dietitian
  • Longmont, CO
  • NPI 1023565777
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1841642428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 MILANO LN",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038986",
            "telephone_number": "303-435-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 MILANO LN",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038986",
            "telephone_number": "303-435-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "LAURA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN  -COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "873000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Linn Hesseltine, NP-C
• Scott Lee Hessler, D.C.
• HG Wellness LLC
• Kylie Hibshman, LSW
• Deirdre Hickey Sturm, BCBA, CCC-SLP
• Lois Ellen Hickma N, O.T.R.
• Ivan Hiew, NP
• Patricia Higginbotham
• Delaney Christine Higgins, MA
• Christina M Higham

• Registered Dietitian in Longmont, CO
• Providers in Longmont, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.