Heidi Rose Brackebusch, RDN
NPI 1477415982ActiveIndividual· Dietitian, Registered· Coeur D Alene, ID
Dietitian, Registered (RDN) in Coeur D Alene, Idaho, licensed in ID, with an NPI issued in December 2025. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1477415982 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | Yes |
| NPI issued | Dec 2, 2025 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 7671544 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (ID) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Other registered dietitians in Coeur D Alene
- 1124352950
- 1154006542
- 1326443011
- 1386071603
- 1427983113
- 1659195857
- 1740041268
- 1740571231
- 1043754112
- 1427703347
- 1720704141
- 1053741371
All 44 registered dietitians in Coeur D Alene · All registered dietitians in Idaho