Individual provider · Type 1 NPI

Heidi Rose Brackebusch, RDN

Registered Dietitian · Coeur D Alene, ID

NPI number 1477415982 Active

Practice location

1765 W Golf Course Rd
Coeur D Alene, ID 83815-9033

Call (208) 277-0795 Map

Mailing address

1917 N Lakewood Dr
Coeur D Alene, ID 83814-2634

Other practice locations

1610 E Schneidmiller Ave, Post Falls, ID 83854-7065 · (208) 773-8111
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-6664

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian Primary	133V00000X	7671544 (ID)

Registered Dietitian: 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…

Another provider at this address

Clear Mind CounselingMental Health Clinic/Center (Including Community Mental Health Center) Coeur D Alene, ID NPI 1982439683

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About NPI 1477415982

Heidi Rose Brackebusch, RDN's National Provider Identifier is 1477415982, issued on Dec 2, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 13, 2026.