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NPI Code Detail

MEDICARE: DR. DANIELLE HEARD DCN, MS,MS,CNS, LDN

MEDICARE: DR. DANIELLE HEARD DCN, MS,MS,CNS, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDX4262MD
2133V00000XRegistered Dietitian010713NY
3133N00000XNutritionistND10643FL
4133NN1002XNutrition Education NutritionistND10643FL
5133NN1002XNutrition Education Nutritionist010713NY
6133V00000XRegistered DietitianND10643FL
7133N00000XNutritionistDX4262MD
8133NN1002XNutrition Education Nutritionist119388AK
9133N00000XNutritionist119388AK
10133N00000XNutritionist010713NY
11133NN1002XNutrition Education NutritionistDX4262MD
12133V00000XRegistered Dietitian119388AK

General Provider Information

NPI Number : 1891233987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELLE HEARD DCN, MS,MS,CNS, LDN
Provider Business Mailing Address
First Line : 1605 GLENROSE ST
Second Line :
City : LONGVIEW
State : TX
Zip : 75604-2624
Country : US
Telephone Number : 903-759-0172
Fax Number :
Provider Business Practice Location Address
First Line : 1605 GLENROSE ST
Second Line :
City : LONGVIEW
State : TX
Zip : 75604
Country : US
Telephone Number : 903-759-0172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2017
Last Update Date : 10/11/2025

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