Active NPI
Rebecca Elizabeth Porthouse, R.D.
- Registered Dietitian
- Sunnyvale, CA
National Provider Identifier
1003077603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01020916
- Practice address
- 555 E Washington Ave
Apt 1106
Sunnyvale, CA 94086-2125 - Phone
- (408) 326-9403
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01020916 | CA | Primary |
Addresses
Primary practice location
555 E Washington Ave
Apt 1106
Sunnyvale, CA 94086-2125
Mailing address
555 E Washington Ave
Apt 1106
Sunnyvale, CA 94086-2125
Phone (408) 326-9403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01020916 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1003077603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E WASHINGTON AVE",
"address_2": "APT 1106",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940862125",
"telephone_number": "408-326-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E WASHINGTON AVE",
"address_2": "APT 1106",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940862125",
"telephone_number": "408-326-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTHOUSE",
"first_name": "REBECCA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "01020916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.