Individual provider Active NPI

Denise Donna Strathdee, RD,LD, LMHC

  • Registered Dietitian
  • Davenport, IA
National Provider Identifier
1295939577
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00290 Issued in IA
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

Updated by the provider on Mar 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
00290IAMDAudiologist

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.

Verify at the official NPI Registry.