Wellformed AI

NPI 1225564644 · live from the CMS NPI Registry

Heidi Gillette, RDN, LD

Dietitian, Registered in Gillette, WY. National Provider Identifier 1225564644, active.

NPI record

NPI1225564644 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location469 Highway 50, Gillette, WY 82718
Practice phone307-387-9850
Mailing address201 W Lakeway Rd Ste 1004, Gillette, WY 82718
EnumeratedMay 4, 2017
Last updatedAugust 28, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X085 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.