Active NPIIndividual providerSole proprietor

Patricia E Heanue, NURSE, RD, MS, CDE

Dietitian, Registered in South Boston, Massachusetts

NPI Number1912080086
Practice location
94 G St, South Boston, MA 02127-2977
Fax
—
Last updated
March 7, 2014

Patricia E. Heanue is a Dietitian, Registered based in South Boston, MA. Patricia E. Heanue practices in South Boston, MA and has the professional credentials of NURSE, RD, MS, CDE. The NPI Number for Patricia E. Heanue is 1912080086 and holds a License No. 111 (MA). The current practice location address for Patricia E. Heanue is 94 G St, South Boston, MA 02127-2977 and can be reached out via phone at 508-944-4684.

Provider Profile Details

NPI Number
1912080086
Provider Name
Patricia E. Heanue
Credential
NURSE, RD, MS, CDE
Provider Entity Type
Individual
Gender
Female
Address
94 G St, South Boston, MA 02127-2977
Phone Number
508-944-4684
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2006
Last Update Date
March 7, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 G St
South Boston, MA 02127-2977
Zip
02127-2977
Phone Number
508-944-4684
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
94 G St
Unit 3
Boston, MA 02127-2977
City
Boston
State
MA
Zip
02127-2977
Phone Number
508-944-4684

License Information

License Number (1)
111
License State (1)
MA
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
283029
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patricia E Heanue, NURSE, RD, MS, CDE?

The NPI number of Patricia E Heanue, NURSE, RD, MS, CDE is 1912080086. It was assigned on October 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Patricia E Heanue, NURSE, RD, MS, CDE?

Patricia E Heanue, NURSE, RD, MS, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 111.

Where does Patricia E Heanue, NURSE, RD, MS, CDE practice?

The practice location is 94 G St, South Boston, MA 02127-2977. The office can be reached at 508-944-4684 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912080086 directly on the NPPES registry website.

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