Active NPI
Nourished Rd Inc.
- Registered Dietitian
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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, CEDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.
-
- Registered Dietitian
- Revere, MA
- NPI 1194180778
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.