Active NPI
Darcy De la Rosa, R.D., CDE
- Registered Dietitian
- Newport, OR
National Provider Identifier
1205880465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 205
- Practice address
- 537 SE Vista Dr
Newport, OR 97365-4210 - Phone
- (541) 270-5237
- Fax
- (541) 574-7986
- NPI assigned
- May 20, 2006
- 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 | 205 | OR | Primary |
Addresses
Primary practice location
537 SE Vista Dr
Newport, OR 97365-4210
Mailing address
537 SE Vista Dr
Newport, OR 97365-4210
Phone (541) 270-5237
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269604 | Other | OR | PACIFICSOURCE |
| 276862 | Other | OR | OMAP-MATERNAL CASE MGMT |
| 1037979 | Other | OR | AM SPECIALTY HEALTH |
| 483-82-53904 | Other | OR | ODS@VENUTO |
| 05462304 | Other | OR | REGENCE BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205880465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 SE VISTA DR",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654210",
"telephone_number": "541-270-5237",
"fax_number": "541-574-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 SE VISTA DR",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654210",
"telephone_number": "541-270-5237",
"fax_number": "541-574-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA ROSA",
"first_name": "DARCY",
"name_prefix": "Ms.",
"credential": "R.D., CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICSOURCE",
"identifier": "269604",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP-MATERNAL CASE MGMT",
"identifier": "276862",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AM SPECIALTY HEALTH",
"identifier": "1037979",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODS@VENUTO",
"identifier": "483-82-53904",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "05462304",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.