National Provider Identifier
Charleen M Heidt, RD
Charleen M Heidt, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Ithaca, NY and a listed phone number of (607) 227-5954.
Profile Overview
- NPI
- 1396193397
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- May 31, 2016
- Last Updated
- May 31, 2016
Practice Location
- 107 W Falls St
- Ithaca, NY 14850-3212
Phone: (607) 227-5954
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1396193397
- Entity Type
- Individual
- Last Name
- Heidt
- First Name
- Charleen
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- RD
- Mailing Street Address
- 107 W Falls St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3212
- Mailing Country
- US
- Mailing Phone
- (607) 227-5954
- Practice Street Address
- 107 W Falls St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3212
- Practice Country
- US
- Practice Phone
- (607) 227-5954
- Enumeration Date
- May 31, 2016
- Last Updated
- May 31, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)