Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Rae Heine, RD, LD, CMHIMP

Individual provider Registered Dietitian · NPI 1407313406

Courtney Rae Heine, RD, LD, CMHIMP is a Registered Dietitian in Sullivan, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

884 Acid Mine Rd
Sullivan, MO 63080-2695
Phone: (573) 619-5188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2014012347 (MO)

Record details

NPI number1407313406
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD , CMHIMP
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESFebruary 26, 2019

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