MRS. ABBY MARIE HEIDARI (NPI# 1518298470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518298470 |
| Entity Type | Individual |
| Full Name | MRS. ABBY MARIE HEIDARI |
| Credential | R.D., L.D. |
| Practice Address |
12200 State Line Rd Leawood KS 66209-1217 |
| Mailing Address |
12200 State Line Rd. Leawood KS 66204 |
| Practice Telephone | 9133459477 |
| Practice Fax Number | 9133450957 |
| Mailing Telephone | 9133459477 |
| Mailing Fax Number | 9133450957 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 85007357 | MO | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 85007357 | KS | Dietary & Nutritional Service Providers |
| Street Address |
12200 STATE LINE RD |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66209-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972622538 | Kellie J Andreesen | Pharmacist | 12200 State Line Rd, Leawood, KS 66209-1217 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| 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 |
|---|---|---|---|---|
| 1790395424 | Amanda Brown | Dietitian, Registered | 14104 Mohawk Rd, Leawood, KS 66224-1123 | 2020-08-06 |
| 1467940098 | Lindsay F O'reilly | Dietitian, Registered | 14549 Windsor St, Leawood, KS 66224-3716 | 2018-04-30 |
| 1942848577 | Courtney Danielle Kerr | Dietitian, Registered | 9811 Lee Cir, Leawood, KS 66206-2345 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776422 | Michele Keethler | Dietitian, Registered | 1842 N Columbine, Andover, KS 67002-8113 | 2020-09-25 |
| 1609480284 | Carolyn Schmidt | Dietitian, Registered | 11433 Cody St, Overland Park, KS 66210-3497 | 2020-09-01 |
| 1114531944 | Ellen Marie Carp | Dietitian, Registered | 2728 N Hoover Rd, Wichita, KS 67205-1031 | 2020-08-31 |
| 1447863287 | Caroline Vogel Finnell | Dietitian, Registered | 9030 W 64th Pl Apt 202, Merriam, KS 66202-4706 | 2020-08-30 |
| 1750991238 | Tyler Downs | Dietitian, Registered | 1542 N Mesa St, Wichita, KS 67212-1237 | 2020-08-09 |
| 1679181176 | Susan N Lukwago | Dietitian, Registered | 1330 N Cain Ave, Liberal, KS 67901-2317 | 2020-07-21 |
| 1356960256 | Emily Lincicome | Dietitian, Registered | 1056 N Porter Ave, Wichita, KS 67203-3023 | 2020-04-10 |
| 1285263632 | Victoria Lauren Wassner | Dietitian, Registered | 16000 Granada St Apt 210, Overland Park, KS 66085-8459 | 2020-04-07 |
| 1194353128 | Claudia Martin-ayoade | Dietitian, Registered | 13710 W 120th St, Olathe, KS 66062-5689 | 2020-03-27 |
| 1083241855 | Lacee Pinkerton | Dietitian, Registered | 10017 Larsen St, Overland Park, KS 66214-2352 | 2020-03-24 |
| 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.