Individual provider Active NPI

Rebecca Adams, RD/ LD

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1073830600
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2009022580 Issued in MO
Practice address
50 Crestwood Executive Ctr Ste 500
Saint Louis, MO 63126-1948
Phone
(636) 686-0682
NPI assigned
Apr 21, 2010
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 2009022580 MO Primary

Addresses

Primary practice location

50 Crestwood Executive Ctr Ste 500
Saint Louis, MO 63126-1948

Mailing address

529 Vista Hills CT
Eureka, MO 63025-3605
Phone (636) 686-0682

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

LicenseStateTypeSpecialty
2009022580MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Nutrition Therapy, LLC Dietitian, Registered CurrentSince Aug 13, 2023 Accepting new patients

Locations

140 Prospect Ave
Ste M
Saint Louis, MO 63122
Phone (201) 739-2504

50 Crestwood Executive Ctr
Ste 500
Sappington, MO 63126
Phone (314) 329-5374

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1073830600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 VISTA HILLS CT",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253605",
            "telephone_number": "636-686-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CRESTWOOD EXECUTIVE CTR STE 500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261948",
            "telephone_number": "636-686-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "RD/ LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2009022580",
            "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 Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.