Provider Demographics
NPI:1811465149
Name:MORRISSEY, HEIDI MARIE (RD, LD)
Entity type:Individual
Prefix:MISS
First Name:HEIDI
Middle Name:MARIE
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:MARIE
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3629 ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1927
Mailing Address - Country:US
Mailing Address - Phone:330-212-0666
Mailing Address - Fax:
Practice Address - Street 1:9007 FIELDS ERTEL RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8261
Practice Address - Country:US
Practice Address - Phone:330-212-0666
Practice Address - Fax:877-743-5351
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.08521133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty