HEATHAR SHEPARD NUTRITIONIST NPI 1376024281

NPI Information

  • NPI: 1376024281
  • Provider Name: HEATHAR SHEPARD, NUTRITIONIST
  • Classification: Nutritionist - 133NN1002X
  • Specialization: Nutrition, Education
  • Entity Type: Individual
  • Address: 112 MISTY VALLEY DR
    CANTON, GA
    ZIP 30114
  • Phone: (770) 516-2303

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NPI Details

Heathar Shepard, NUTRITIONIST is a nutrition and education nutritionist in Canton, GA. Heathar Shepard, NUTRITIONIST NPI is 1376024281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

112 MISTY VALLEY DR
CANTON, GA
ZIP 30114-732
Phone: (770) 516-2303

The enumeration date for this NPI number is 8/28/2018 and was last updated on 8/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133NN1002XNutritionistNutrition, EducationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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