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AMANDA GOOD HEINTZELMAN RD
NPI 1831553981
Dietitian, Registered in Brockton, MA

Active since April 05, 2016
940 BELMONT ST, BROCKTON, MA 02301(774) 826-2210 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Good Heintzelman Rd NPPES

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

AMANDA GOOD HEINTZELMAN RD (NPI 1831553981) is an individual dietitian, registered in Brockton, Massachusetts, licensed in (1052071) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1831553981
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMANDA GOOD HEINTZELMANCredential: RD
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address336 Brandywine DrBear, DE 19701-3202 · (508) 566-6958
Phone(774) 826-2210
Sole ProprietorNo
Enumeration DateApril 5, 2016
✔ NPI 1831553981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed · 1052071✔ Licensed in FL · ND 7683
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.
940 BELMONT ST, Brockton, MA 02301
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Good Rd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Good Heintzelman Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Harbor Health Services, Inc
15 mi
Clinic/Center
1135 MORTON STREET
Mattapan, MA 02126
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 clinicians in this Medicare group
NPI 1225064264 (617) 533-2400

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 20

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

ERIN ELIZABETH SULLIVAN
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. PEGGY MENTOR MD
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (857) 364-4418
DIL TAHERA M.D.
Psychiatry & Neurology (Psychiatry)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-3151

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 Amanda Heintzelman's NPI number?

The NPI number for Amanda Heintzelman is 1831553981. It was assigned to this individual provider in the NPPES registry on April 5, 2016. The provider is also known as Amanda Good Rd.

Where is Amanda Heintzelman located?

Amanda Heintzelman practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (774) 826-2210.

What is Amanda Heintzelman's specialty?

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

Is Amanda Heintzelman enrolled in Medicare?

Yes. Amanda Heintzelman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Heintzelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Heintzelman reassigns Medicare benefits to Harbor Health Services, Inc (Mattapan, MA). 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 Amanda Heintzelman'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 Amanda Heintzelman was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.