MRS. HEATHER SUE ILLG RD LD
NPI 1952704504
Dietetic Technician, Registered in Urbandale, IA

Active since September 26, 2014
8701 DOUGLAS AVE, URBANDALE, IA 50322(515) 251-5284(515) 270-2227 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Heather Sue Illg Rd Ld NPPES

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

MRS. HEATHER SUE ILLG RD LD (NPI 1952704504) is an individual dietetic technician, registered in Urbandale, Iowa, licensed in Iowa (01342) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1952704504
Entity TypeIndividualFemale
Primary Taxonomy136A00000X
Provider Legal NameMRS. HEATHER SUE ILLGCredential: RD LD
Location Address8701 DOUGLAS AVEUrbandale, IA 50322-2200
Mailing Address8701 Douglas AveUrbandale, IA 50322-2200 · (515) 251-5284 · Fax (515) 270-2227
Fax(515) 270-2227
Sole ProprietorNo
Enumeration DateSeptember 26, 2014
NPI 1952704504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietetic Technician, RegisteredDietary & Nutritional Service Providers
Taxonomy Code136A00000X
License Licensed in IA · 01342
Definition
A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.
8701 DOUGLAS AVE, Urbandale, IA 50322

Other Providers at the Same Location NPPES 13

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

Dietitian, Registered
8701 DOUGLAS AVE
URBANDALE, IA 50322
Pharmacist
8701 DOUGLAS AVE
URBANDALE, IA 50322
Pharmacist
8701 DOUGLAS AVE
URBANDALE, IA 50322
Pharmacist
8701 DOUGLAS AVE
URBANDALE, IA 50322
Dietitian, Registered
8701 DOUGLAS AVE
URBANDALE, IA 50322
Pharmacist
8701 DOUGLAS AVE
URBANDALE, IA 50322
Pharmacist
8701 DOUGLAS AVE
URBANDALE, IA 50322
Pharmacist
8701 DOUGLAS AVE
URBANDALE, IA 50322

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 Heather Illg's NPI number?

The NPI number for Heather Illg is 1952704504. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Heather Illg located?

Heather Illg practices at 8701 Douglas Ave, Urbandale, IA 50322. The listed phone number is (515) 251-5284.

What is Heather Illg's specialty?

The primary specialty registered for this NPI is Dietetic Technician, Registered with taxonomy code 136A00000X.

When was this NPI record last updated?

The NPPES record for Heather Illg was last updated on September 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.