Active NPI
Bethany Elizabeth Rodriguez, REGISTERED DIETITIAN
- Registered Dietitian
- Fresno, CA
National Provider Identifier
1316303738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1086112
- Practice address
- 8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833 - Phone
- (559) 433-1120
- NPI assigned
- Jan 14, 2016
- 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 | 1086112 | CA | Primary |
Addresses
Primary practice location
8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833
Mailing address
7283 W Rialto Ave
Fresno, CA 93723-9407
Phone (559) 313-5721
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 |
|---|---|---|---|
| 1086112 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1316303738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7283 W RIALTO AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937239407",
"telephone_number": "559-313-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 N CEDAR AVE STE 109",
"city": "FRESNO",
"state": "CA",
"postal_code": "937204833",
"telephone_number": "559-433-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BETHANY",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1086112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.