COURTNEY RAE HEINE (NPI# 1407313406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407313406 |
| Entity Type | Individual |
| Full Name | COURTNEY RAE HEINE |
| Other Name | COURTNEY RAE HUMPHREY |
| Credential | RD, LD, CMHIMP |
| Practice Address |
884 Acid Mine Rd Sullivan MO 63080-2695 |
| Practice Telephone | 5736195188 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2014012347 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427339589 | Courtney Elizabeth Heine | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2011-09-02 |
| Street Address |
884 ACID MINE RD |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174090260 | Brittany Jean Barker | Dietitian, Registered | 759 Palmyra St, Sullivan, WI 53178-9608 | 2018-10-27 |
| 1427319284 | Liza H Drew | Dietitian, Registered | 127 Taylor Pond Rd, Sullivan, NH 03445-4420 | 2012-06-07 |
| 1962677252 | Kelly D Paneitz | Dietitian, Registered | 751 Sappington Bridge Rd, Missouri Baptist Hospital - Sullivan, Sullivan, MO 63080-2354 | 2008-04-28 |
| 1821263112 | April Elaine Mcdonald | Dietitian, Registered | 751 Sappington Bridge Rd, Missouri Baptist Hospital-sullivan, Sullivan, MO 63080-2354 | 2008-04-28 |
| 1518187012 | Angela Beth Sagarsee | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-26 |
| 1104045871 | Traci Ann Ray | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-24 |
| 1376592881 | Jtw Inc | Dietitian, Registered | 13 W Jackson St, Sullivan, IN 47882-1503 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.