Rebecca T Sulik

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

D257 Issued in ID

Practice address

2220 E 25TH St
Idaho Falls, ID 83404-7542

Phone

(208) 523-1122

Fax

(208) 523-2582

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Diabetes and Osteoporosis Center PAGroup PAC ID 5890750483, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.sulik.1@33233.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FEFDAA

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.

• Rocky Mountain Diabetes and Osteoporosis Center PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Idaho Falls, ID
  • NPI 1336220243
  Medicare reassignment Care Compare group NPD
• RM Lab LLC

  • Clinical Medical Laboratory
  • Idaho Falls, ID
  • NPI 1659301349
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013940386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047542",
            "telephone_number": "208-523-1122",
            "fax_number": "208-523-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047542",
            "telephone_number": "208-523-1122",
            "fax_number": "208-523-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIK",
        "first_name": "REBECCA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "ID",
            "license": "D257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00126107",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana L Stubblefield, LMSW
• Christina Stubbs
• Renae Michelle Suarez, LMSW
• Emily Sucher, RDN
• Keaton Jake Suitter, LPC
• Sullivan Mental Health Services LLC
• Jessie Elaine Sullivan, LCPC,LMFT
• Joshua Summers, DO
• Patti Joleen Summers, LPC
• Summit Eyecare PLLC

• Metabolic Nutrition Registered Dietitian in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Metabolic Nutrition Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.