MRS. HEIDI LYNN MAXWELL (NPI# 1255644464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255644464 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI LYNN MAXWELL |
| Credential | RD |
| Practice Address |
1235 Ramsey St Fayetteville NC 28301-4401 |
| Mailing Address |
2135 Ramsey Street Fayetteville NC 28301-4401 |
| Practice Telephone | 9104333708 |
| Practice Fax Number | 9103217103 |
| Mailing Telephone | 9104333708 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 858950 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA MEDICARE | 2995065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598175440 | Heidi Marie Maxwell | Student in an Organized Health Care Education/Training Program | 251 Georgia St, Vallejo, CA 94590-5905 | 2014-04-30 |
| Street Address |
1235 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846191 | Kelly Fogarty Mergy | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2005-07-22 |
| 1548800352 | Yalonda Marie Moore | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2020-01-09 |
| 1467919613 | Ankita Patel | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2019-02-25 |
| 1104334077 | Michelle Nicola Jennings | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2018-01-13 |
| 1982110813 | Michelle Gomez Stucky | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2017-12-14 |
| 1780074385 | Cumberland County Dept of Public Health | Clinic/Center | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2015-02-03 |
| 1265853048 | Torica Fuller | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2013-12-23 |
| 1316376106 | Sherece Dyer | Registered Nurse | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2013-11-02 |
| 1821341124 | Ann Maria Bell | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2012-10-24 |
| 1164708947 | Ava Annette Johnson | Dietitian, Registered | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| 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 |
|---|---|---|---|---|
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1114544723 | Katherine Johanna Martin | Dietitian, Registered | 449 Tartan Ct, Fayetteville, NC 28311-1694 | 2020-06-30 |
| 1447872486 | Lindsay Spivey Petty | Dietitian, Registered | 190 Cedar Creek Ct, Fayetteville, GA 30215-2799 | 2020-05-13 |
| 1366003980 | Laura Hill | Dietitian, Registered | 3215 N Northhills Blvd Ste 3, Fayetteville, AR 72703-4424 | 2019-06-25 |
| 1073082053 | Natalie Bules | Dietitian, Registered | 688 E Millsap Rd Ste 100, Fayetteville, AR 72703-3930 | 2018-11-19 |
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1326542317 | Jennifer Joyner | Dietitian, Registered | 424 Mcarthur Rd, Fayetteville, NC 28311-6924 | 2018-03-22 |
| 1114428984 | Paul Thomas Brown | Dietitian, Registered | 3082 W Jewell Rd Apt 1, Fayetteville, AR 72701-1586 | 2018-02-26 |
| 1356799183 | Nutrition Consultants, Inc. | Dietitian, Registered | 6866 Towbridge Rd, Fayetteville, NC 28306-2534 | 2016-06-02 |
| 1619359346 | Sabrina Teresa Hesford | Dietitian, Registered | 408 Warren St, Fayetteville, NY 13066-2138 | 2015-06-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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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.