Rebecca Davis, MS, RD, CD

Individual provider Active NPI Registered Dietitian · Vineyard, UT

NPI 1154978724 · NPPES record last updated Aug 19, 2019

Key facts

NPI
1154978724
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
11313926-4901 (UT)
Practice address
83 N English Rd
Vineyard, UT 84059-5645
Phone
(928) 266-6197
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11313926-4901UTMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 11313926-4901 UT Yes

Addresses

Primary practice location

83 N English Rd
Vineyard, UT 84059-5645

Mailing address

83 N English Rd
Vineyard, UT 84059-5645
Phone (928) 266-6197

Other providers in Vineyard, UT

All providers in Vineyard, UT · Registered Dietitian in Utah

Sources for this page

Verify at the official NPI Registry.