Provider Demographics
NPI:1912042870
Name:TURNER, HEIDI ELIZABETH (MS, RD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:ELIZABETH
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 N 34TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9058
Mailing Address - Country:US
Mailing Address - Phone:206-291-8707
Mailing Address - Fax:
Practice Address - Street 1:1914 N 34TH ST
Practice Address - Street 2:SUITE 500
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9058
Practice Address - Country:US
Practice Address - Phone:206-291-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00001746133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA390098390098OtherPREMERA BLUE CROSS
WA5348TUOtherREGENCE BLUESHIELD
WAFCHP63570OtherFIRST CHOICE HEALTH
WA1033TUOtherREGENCE BLUE SHIELD
WA7679747OtherAETNA