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ISABELLA HEROLD RD
NPI 1376180349
Dietitian, Registered in Jamaica, NY

Active since December 09, 2019
97-04 SUTPHIN BOULEVARD, JAMAICA, NY 11435(718) 657-7088(718) 657-7092 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Isabella Herold Rd NPPES

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

ISABELLA HEROLD RD (NPI 1376180349) is an individual dietitian, registered in Jamaica, New York, licensed in New York (009911) and active in the NPI registry since December 2019. She maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1376180349
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameISABELLA HEROLDCredential: RD
Location Address97-04 SUTPHIN BOULEVARDJamaica, NY 11435
Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (212) 545-2400 · Fax (646) 312-0481
Phone(718) 657-7088
Fax(718) 657-7092
Sole ProprietorNo
Enumeration DateDecember 9, 2019
✔ NPI 1376180349 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 NY · 009911
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.
97-04 SUTPHIN BOULEVARD, Jamaica, NY 11435
Open in Google Maps ↗

Secondary Practice Location 1

Location 190-04 161st Street 5th FloorJamaica, NY 11432 · Phone (718) 523-2123 · Fax (718) 523-5833

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isabella Herold Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Isabella Herold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Healthcare Network, Inc.
Same address
Federally Qualified Health Center (FQHC)
9704 SUTPHIN BLVD
Jamaica, NY 11435
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
NPI 1023185725 (718) 657-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

KERITA JACKSON FNP
Nurse Practitioner (Family)
97-04 SUTPHIN BOULEVARD
JAMAICA, NY 11435
Queens County (718) 657-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isabella Herold's NPI number?

The NPI number for Isabella Herold is 1376180349. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Isabella Herold located?

Isabella Herold practices at 97-04 Sutphin Boulevard, Jamaica, NY 11435. The listed phone number is (718) 657-7088.

What is Isabella Herold's specialty?

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

Is Isabella Herold enrolled in Medicare?

Yes. Isabella Herold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Isabella Herold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isabella Herold reassigns Medicare benefits to Community Healthcare Network, Inc. (Jamaica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Isabella Herold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Isabella Herold was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.