Individual provider Active NPI

Rebecca Davis, RD

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1003689886
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2001015185 Issued in MO
Practice address
9412 Twin Spruce Dr
Saint Louis, MO 63126-2826
Phone
(314) 482-8990
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2001015185 MO Primary

Addresses

Primary practice location

9412 Twin Spruce Dr
Saint Louis, MO 63126-2826

Mailing address

9412 Twin Spruce Dr
Saint Louis, MO 63126-2826
Phone (314) 482-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, WI, DC, IA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250313001394 TX Practitioner - Registered Dietitian Or Nutrition Professional 4981126471 Reassigns benefits to 2 organizations
I20250415001994 AZ Practitioner - Registered Dietitian Or Nutrition Professional 4981126471 Reassigns benefits to 3 organizations
I20250416003247 WI Practitioner - Registered Dietitian Or Nutrition Professional 4981126471 Reassigns benefits to 1 organization
I20250609001772 DC Practitioner - Registered Dietitian Or Nutrition Professional 4981126471 Reassigns benefits to 1 organization
I20250624002498 IA Practitioner - Registered Dietitian Or Nutrition Professional 4981126471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Season Clinical Care PAGroup PAC ID 4688015050, 10 clinicians

Practice addresses (Care Compare)

1120 Depot LN SE
100 Season Health
Cedar Rapids, IA 52401-2547
Phone (888) 807-4117

130 E Congress St
Suite 213
Tucson, AZ 85701-1708
Phone (888) 807-4117

2800 Eisenhower Ave
Suite 220
Alexandria, VA 22314-4587
Phone (888) 807-4117

345 W Washington Ave
Suite 301
Madison, WI 53703-3007
Phone (888) 807-4117

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001015185MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Uhling Consulting, LLC Dietitian, Registered CurrentSince Feb 14, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Jan 9, 2025 Accepting new patients
Surely Health, Inc. Dietitian, Registered CurrentSince Jan 9, 2025 Accepting new patients

Locations

20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248

20325 N 51st Ave
Ste 166
Glendale, AZ 85308
Phone (602) 341-5248

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

130 E Congress St
Ste 213
Tucson, AZ 85701

3480 Preston Ridge Rd
Ste 500
Alpharetta, GA 30005
Phone (412) 287-4983

1120 Depot Ln SE
Ste 100
Cedar Rapids, IA 52401
Phone (319) 237-3193

101 Glen Lennox Dr
Unit 300
Chapel Hill, NC 27517
Phone (561) 203-6085

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1003689886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 TWIN SPRUCE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631262826",
            "telephone_number": "314-482-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 TWIN SPRUCE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631262826",
            "telephone_number": "314-482-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REBECCA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2001015185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.