HEATHER RENEE CUPP (R.D.) – Registered Dietitian, NPI 1932185378
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
615 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in CA
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Provider Addresses for HEATHER RENEE CUPP (R.D.)
Veterans Affairs San Diego Healthcare System, 3350, La Jolla Village Drive, University City, San Diego, San Diego County, California, 92161, United States
SAN DIEGO, CA 921610002
Phone: (858) 552-8585
Type: Location
4944, Mount Gaywas Drive, North Mount Estates, Clairemont, San Diego, San Diego County, California, 92117, United States
SAN DIEGO, CA 921174812
Phone: (760) 415-1446
Type: Mailing
3350 La Jolla Village Dr
San Diego, CA 921610002
Phone: (858) 552-8585
Type: Location
2930 FORESTVILLE RD
RALEIGH, NC 276168774
Phone: (919) 235-6550
Type: Location
PO BOX 602195
CHARLOTTE, NC 282602195
Phone: (877) 498-4490
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220923001732 | I | Registered Dietitian Or Nutrition Professional | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92161)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NC | |
| Family Practice | NC | |
| Family Practice | VA | |
| Nurse Practitioner | NC | |
| Internal Medicine | NC | |
| Physician Assistant | NC | |
| Family Practice | TX | |
| Family Practice | NC | |
| - | NC | |
| Family Practice | NC |
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