Elizabeth Rehm, MS, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

798 Issued in AR

Practice address

2010 W 9TH St
Russellville, AR 72801-5658

Phone

(479) 890-6824

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westside Family Clinic LLCGroup PAC ID 3476915372, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDAJAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westside Family Clinic LLC

  • Family Nurse Practitioner
  • Russellville, AR
  • NPI 1801587779
  Medicare reassignment Care Compare group NPD
• Monfee Medical Clinic

  • Family Medicine Physician
  • Russellville, AR
  • NPI 1154350213
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1386896801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W 9TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015658",
            "telephone_number": "479-890-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W 9TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015658",
            "telephone_number": "479-890-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHM",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Russellville, AR
• Providers in Russellville, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.