Heidi Carlson, RD
Counselor, Professional in Wyoming, MI. Individual provider (NPI-1).
NPI number1538502000
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1538502000
- Entity type
- Individual (NPI-1)
- Name
- Heidi Carlson
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2013
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | MI | Yes |
| 133V00000X | Dietitian, Registered | 01029214 | MI |
Other names
- Heidi Siner (Former Name)
Practice location
1055 Gezon Pkwy SwWyoming, MI 49509-9542
Phone 616-773-2908
Mailing address
4152 Chaminade Dr SwGrandville, MI 49418-2589
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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