Active NPI
Denise Donna Strathdee, RD,LD, LMHC
- Registered Dietitian
- Davenport, IA
National Provider Identifier
1295939577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00290
- Practice address
- 1227 East Rusholme Street
Suite 101, Medical Office Building 2
Davenport, IA 52803-2459 - Phone
- (563) 421-8361
- Fax
- (563) 421-8369
- NPI assigned
- Jun 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00763 | IA | |
| Registered Dietitian | 133V00000X | 00290 | IA | Primary |
Addresses
Primary practice location
1227 East Rusholme Street
Suite 101, Medical Office Building 2
Davenport, IA 52803-2459
Mailing address
1227 E. Rusholme Street
Suite 101, Medical Office Building 2
Davenport, IA 52803-2459
Phone (563) 421-8361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00290 | IA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1295939577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 E. RUSHOLME STREET",
"address_2": "SUITE 101, MEDICAL OFFICE BUILDING 2",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032459",
"telephone_number": "563-421-8361",
"fax_number": "563-421-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 EAST RUSHOLME STREET",
"address_2": "SUITE 101, MEDICAL OFFICE BUILDING 2",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032459",
"telephone_number": "563-421-8361",
"fax_number": "563-421-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATHDEE",
"first_name": "DENISE",
"middle_name": "DONNA",
"name_prefix": "Mrs.",
"credential": "RD,LD, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00763",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "00290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.