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Active NPI 1619093515 Individual Practitioner Female Practitioner

Kimberly B Heintzman , RD, CDE, CCRC

Dietitian, Registered • Durango, CO

Professional Overview & Biography Verified Profile Summary

Kimberly Heintzman, RD, CDE, CCRC is a registered healthcare professional specializing in Dietitian, Registered in Durango, CO. Practice services are available at 169 LAKE PURGATORY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

169 Lake Purgatory Dr

Durango, CO 813019104

Telephone 9709463122

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Durango, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Durango, CO (1406 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License CO 717603

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000F0766 (NM)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 05, 2012

Registered at 169 LAKE PURGATORY DR, DURANGO, CO 813019104 (Tel: 9709463122)

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Updated Business Mailing Address June 05, 2012

Registered at 169 LAKE PURGATORY DR, DURANGO, CO 813019104 (Tel: 9709463122)

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Provider Name / Credentials Updated June 05, 2012

Recorded as KIMBERLY HEINTZMAN, RD, CDE, CCRC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Dietitian, Registered (License #717603 in CO)

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Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619093515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: June 05, 2012
Sole Proprietor: Yes

Mailing Address

169 Lake Purgatory Dr

Durango, CO 813019104

Phone: 9709463122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.