Heather Kelleher, RDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

008952 Issued in NY

Practice address

8600 Sheridan Dr
2A
Williamsville, NY 14221

Phone

(716) 626-7415

NPI assigned

Mar 29, 2017

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 NY

Enrollment records 1

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.

• Custom Dietetics, PC

  • Registered Dietitian
  • Williamsville, NY
  • NPI 1063596880

  Dietitian, Registered

  NPD
• Natalie Greco Dietetics and Nutrition PLLC

  • Registered Dietitian
  • Williamsville, NY
  • NPI 1477937324

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1982136032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BOLL ST",
            "city": "SLOAN",
            "state": "NY",
            "postal_code": "142122213",
            "telephone_number": "716-228-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SHERIDAN DR",
            "address_2": "2A",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-626-7415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153098",
            "country_code": "US",
            "telephone_number": "716-831-8612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "HEATHER",
        "credential": "RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britanny Keith, LPN
• Mike Keleher, RNC,NNP
• Nyaya Kelkar, LMT
• Shelby Joan Kelkenberg, FNP
• Mary Kell, LPN
• Brittany Keller, L.P.N.
• Christopher Joseph Keller, PSY.D.
• Craig Edward Keller, M.D.
• Kristine Keller, LPN
• Margaret Ann Keller, LPN

• Registered Dietitian in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.