Active NPI
Nancy Ruberto-Beachler
- Nutritionist
- Rockville, MD
National Provider Identifier
1407035736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 16409
- Practice address
- 4701 Jasmine Dr.
Rockville, MD 20853 - Phone
- (301) 929-9231
- Fax
- (301) 929-9231
- NPI assigned
- Nov 2, 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 16409 | Primary | |
| Physical Therapist | 225100000X | 17977 | MD |
Addresses
Primary practice location
4701 Jasmine Dr.
Rockville, MD 20853
Mailing address
4701 Jasmine Dr.
Rockville, MD 20853
Phone (301) 929-9231
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17977 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1407035736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 JASMINE DR.",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20853",
"telephone_number": "301-929-9231",
"fax_number": "301-929-9231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 JASMINE DR.",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20853",
"telephone_number": "301-929-9231",
"fax_number": "301-929-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBERTO-BEACHLER",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-02",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "16409",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17977",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.