Provider Demographics
NPI:1174026447
Name:BESSEE, HEATHER AUTUMN (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:AUTUMN
Last Name:BESSEE
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535D KEOLU DR # D
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3937
Mailing Address - Country:US
Mailing Address - Phone:808-341-1142
Mailing Address - Fax:
Practice Address - Street 1:535D KEOLU DR # D
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3937
Practice Address - Country:US
Practice Address - Phone:808-341-1142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00512133V00000X
174H00000X
00886838133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174H00000XOther Service ProvidersHealth Educator