MR. JEFFERY LEE HEILESON RD, LD
NPI 1124354204
Dietitian, Registered in Fort Campbell, KY

Q: What is Jeffery Heileson's NPI number?

The NPI number for Jeffery Heileson is 1124354204. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Q: What is Jeffery Heileson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Heileson was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2009

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 956-0621 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Jeffery Lee Heileson Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFERY LEE HEILESON RD, LD (NPI 1124354204) is an individual dietitian, registered in Fort Campbell, Kentucky, licensed in Georgia (LD003650) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1124354204

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMR. JEFFERY LEE HEILESONCredential: RD, LD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address1501 Mutual DrClarksville, TN 37042-7092

Phone(270) 956-0621

Sole ProprietorNo

Enumeration DateOctober 26, 2009

Last NPPES UpdateSeptember 3, 2013

✔ NPI 1124354204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in GA · LD003650

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

650 JOEL DR, Fort Campbell, KY 42223

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA RENEE CORDELL RN

Registered Nurse