Active NPI
Becky Ann Prostine, MPH, RDLD
- Registered Dietitian
- Charles City, IA
National Provider Identifier
1164777652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01748
- Practice address
- 800 11TH St
Charles City, IA 50616-3468 - Phone
- (641) 257-4381
- NPI assigned
- Jul 20, 2012
- Last updated
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 01748 | IA | Primary |
Addresses
Primary practice location
800 11TH St
Charles City, IA 50616-3468
Mailing address
17394 Packard Ave
Clarksville, IA 50619-9112
Phone (319) 278-4781
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1164777652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17394 PACKARD AVE",
"city": "CLARKSVILLE",
"state": "IA",
"postal_code": "506199112",
"telephone_number": "319-278-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 11TH ST",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506163468",
"telephone_number": "641-257-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSTINE",
"first_name": "BECKY",
"middle_name": "ANN",
"credential": "MPH, RDLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charles City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.