Individual provider Active NPI

Rebecca Rand

  • Registered Dietitian
  • Northampton, MA
National Provider Identifier
1477034874
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4643 Issued in MA
Practice address
15 Atwood Dr Ste 201
Northampton, MA 01060-4276
Phone
(413) 584-4637
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4643 MA Primary

Addresses

Primary practice location

15 Atwood Dr Ste 201
Northampton, MA 01060-4276

Mailing address

63 Bellevue Dr
Athol, MA 01331-1144

Other practice location 1

63 Bellevue Dr
Athol, MA 01331-1144
Phone (401) 374-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620000983 MA Practitioner - Registered Dietitian Or Nutrition Professional 7719366863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22 Atwood Dr
Suite 203
Northampton, MA 01060-4267
Phone (413) 582-9186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4643MAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince May 15, 2022 Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

15 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 584-4637

22 Atwood Dr
Ste 203
Northampton, MA 01060
Phone (413) 582-9186

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1477034874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BELLEVUE DR",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ATWOOD DR STE 201",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604276",
            "telephone_number": "413-584-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Bellevue Dr",
            "address_purpose": "LOCATION",
            "city": "Athol",
            "state": "MA",
            "postal_code": "013311144",
            "country_code": "US",
            "telephone_number": "401-374-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAND",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.