Individual provider Active NPI

Heidi Jill Wisnioski, MA, RD, LD

  • Registered Dietitian
  • Auburn, PA
National Provider Identifier
1982007894
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006457 Issued in PA
Practice address
1290 Running Deer Dr
Auburn, PA 17922-9267
Phone
(239) 314-6501
NPI assigned
Oct 6, 2014
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 DN006457 PA Primary

Addresses

Primary practice location

1290 Running Deer Dr
Auburn, PA 17922-9267

Mailing address

1290 Running Deer Dr
Auburn, PA 17922-9267
Phone (239) 314-6501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521001661 PA Practitioner - Registered Dietitian Or Nutrition Professional 9335618123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 Brookside Ave
Suite 125
Ambler, PA 19002-3436

7 Evergreen Rd
Hewitt, NJ 07421-2719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DN006457PAMDRegistered Dietitian

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1982007894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 RUNNING DEER DR",
            "city": "AUBURN",
            "state": "PA",
            "postal_code": "179229267",
            "telephone_number": "239-314-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 RUNNING DEER DR",
            "city": "AUBURN",
            "state": "PA",
            "postal_code": "179229267",
            "telephone_number": "239-314-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIOSKI",
        "first_name": "HEIDI",
        "middle_name": "JILL",
        "credential": "MA, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.