Rizza Magbuhat Edradan, CSR, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005028 Issued in NC

Practice address

337 Rivella Dr
Wake Forest, NC 27587-3639

Phone

(415) 867-4422

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Rizza Marie Tuvida Magbuhat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1164241279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 RIVELLA DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873639",
            "telephone_number": "415-867-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 RIVELLA DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873639",
            "telephone_number": "415-867-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDRADAN",
        "first_name": "RIZZA",
        "middle_name": "MAGBUHAT",
        "credential": "CSR, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005028",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND1244",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86036227",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NC",
            "license": "86036227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIZZA MARIE",
            "last_name": "MAGBUHAT",
            "middle_name": "TUVIDA",
            "credential": "RIZZA MARIE MAGBUHAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.