Active NPI
Valeria Gurgel Rezende, RD,CDE
- Registered Dietitian
- Grand Rapids, MI
National Provider Identifier
1215175609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 730 Grandville Ave SW
Grand Rapids, MI 49503-4920 - Phone
- (616) 685-8423
- NPI assigned
- Jan 23, 2009
- 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 | Primary |
Addresses
Primary practice location
730 Grandville Ave SW
Grand Rapids, MI 49503-4920
Mailing address
5405 Egypt Creek Blvd
Ada, MI 49301-9278
Phone (616) 682-1525
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1215175609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 EGYPT CREEK BLVD",
"city": "ADA",
"state": "MI",
"postal_code": "493019278",
"telephone_number": "616-682-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 GRANDVILLE AVE SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034920",
"telephone_number": "616-685-8423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZENDE",
"first_name": "VALERIA",
"middle_name": "GURGEL",
"name_prefix": "Mrs.",
"credential": "RD,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.