Active NPI
Rebecca Suzanne Bokat, MS, RD, LDN, CEDRD
- Registered Dietitian
- Revere, MA
National Provider Identifier
1194180778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2877
- Practice address
- 500 Ocean Ave Unit 655
Revere, MA 02151-1445 - Phone
- (617) 383-7137
- NPI assigned
- Dec 23, 2015
- 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 | 2877 | MA | Primary |
Addresses
Primary practice location
500 Ocean Ave Unit 655
Revere, MA 02151-1445
Mailing address
500 Ocean Ave Unit 655
Revere, MA 02151-1445
Phone (617) 383-7137
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2877 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourished Rd, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631318400000",
"number": "1194180778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OCEAN AVE UNIT 655",
"city": "REVERE",
"state": "MA",
"postal_code": "021511445",
"telephone_number": "617-383-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OCEAN AVE UNIT 655",
"city": "REVERE",
"state": "MA",
"postal_code": "021511445",
"telephone_number": "617-383-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKAT",
"first_name": "REBECCA",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN, CEDRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-23",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.