Active NPI
Rebekah Engum, RD, CRD, RDN
- Registered Dietitian
- New Franken, WI
National Provider Identifier
1154092849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1018800
- Practice address
- 5829 George Dr
New Franken, WI 54229-9312 - Phone
- (920) 265-5681
- NPI assigned
- Sep 23, 2021
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1018800 | WI | Primary |
Addresses
Primary practice location
5829 George Dr
New Franken, WI 54229-9312
Mailing address
5829 George Dr
New Franken, WI 54229-9312
Phone (920) 265-5681
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1018800 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1154092849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5829 GEORGE DR",
"city": "NEW FRANKEN",
"state": "WI",
"postal_code": "542299312",
"telephone_number": "920-265-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5829 GEORGE DR",
"city": "NEW FRANKEN",
"state": "WI",
"postal_code": "542299312",
"telephone_number": "920-265-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGUM",
"first_name": "REBEKAH",
"credential": "RD, CRD, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1018800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Franken, WI
- Anna's Healthcare,Inc.
- Aurora Medical Group, Inc.
- Autumn's Promise Assisted Living, LLC (Autumn's Promise Assisted Living)
- Rebecca Boland, BSN RN
- Ann K Dickson, M.S., CCC-SLP
- Alexis Freund, LPC
- Holly C Jeskewitz, APNP
- Lisa A Maraka, MS CCC-SLP
- Erich J Quidzinski, D.O.
- Sensory GB, LLC (Integrated Senosry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.