Organization Active NPI

Nourished Rd Inc.

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1144136078
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISHED RD INC.
Practice address
3775 Sixth Ave
#605
San Diego, CA 92103-3312
Phone
(617) 383-7137
Fax
(617) 613-7288
NPI assigned
Aug 20, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Ms. Rebecca Suzanne Bokat, MS, RD, LDN, CEDSNPI 1194180778
Title
Owner
Phone
(240) 687-1703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3775 Sixth Ave
#605
San Diego, CA 92103-3312

Mailing address

1286 University Ave Ste 1062
San Diego, CA 92103-3312
Phone (617) 383-7137

National Provider Directory

National Provider Directory

Locations

1286 University Ave
San Diego, CA 92103
Phone (619) 342-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1144136078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 UNIVERSITY AVE STE 1062",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033312",
            "telephone_number": "617-383-7137",
            "fax_number": "617-613-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 SIXTH AVE",
            "address_2": "#605",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033312",
            "telephone_number": "617-383-7137",
            "fax_number": "617-613-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED RD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BOKAT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-687-1703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN, CEDS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.