Active NPI
Rebecca Maurillo, RD
- Registered Dietitian
- Bozeman, MT
National Provider Identifier
1487206868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 997839
- Practice address
- 2002 N 22ND Ave Ste 2
Bozeman, MT 59718-3153 - Phone
- (406) 282-4762
- NPI assigned
- Jul 15, 2019
- Last updated
- Mar 30, 2023
- 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 | 997839 | MT | Primary |
Addresses
Primary practice location
2002 N 22ND Ave Ste 2
Bozeman, MT 59718-3153
Mailing address
2203 Sturnella LN
Belgrade, MT 59714-7721
Phone (512) 656-7293
Other names 1
- Rebecca Jones
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 |
|---|---|---|---|
| 997839 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eating Disorder Center of Montana | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Bozeman, MT
- NPI 1053751487
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1487206868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 STURNELLA LN",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597147721",
"telephone_number": "512-656-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 N 22ND AVE STE 2",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597183153",
"telephone_number": "406-282-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURILLO",
"first_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "997839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "JONES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.