Rebecca A Driscoll, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1983 Issued in MN

Practice address

21 Dorset Rd
Mendota Heights, MN 55118-1914

Phone

(651) 276-8018

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Blake Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1154364602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 ROBERT ST S # 129",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183918",
            "telephone_number": "651-276-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DORSET RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551181914",
            "telephone_number": "651-276-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BLAKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oliviah Marie Dmytrasz
• Enyonam Donkor
• Crysil Dougherty, RN, BSN, PHN
• Heidi Elizabeth Drechsel
• Stacy Dreelan, MS CCC-SLP
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• Ramona Eakman, MA, LPCC
• Sarah Lucille Boudreau Ebner, MA

• Registered Dietitian in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.