Individual provider Active NPI

Rebekah Mae Burns, R.D.

  • Registered Dietitian
  • Pace, FL
National Provider Identifier
1508909193
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
967539 Issued in TN
Practice address
5345 Peach Dr
Pace, FL 32571-2778
Phone
(864) 430-2425
NPI assigned
Feb 14, 2007
Last updated
Mar 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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 967539 TN Primary

Addresses

Primary practice location

5345 Peach Dr
Pace, FL 32571-2778

Mailing address

5345 Peach Dr
Pace, FL 32571-2778
Phone (864) 430-2425

Other names 1

  • Rebekah Burns Saar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418002649 FL Practitioner - Registered Dietitian Or Nutrition Professional 2466898267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
967539TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Diabetes & Nutrition Center Dietitian, Registered CurrentSince Apr 5, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

115 Miracle Strip Pkwy SE
Unit 204
Ft Walton Bch, FL 32548
Phone (850) 374-7604

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1508909193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 PEACH DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712778",
            "telephone_number": "864-430-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 PEACH DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712778",
            "telephone_number": "864-430-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "REBEKAH",
        "middle_name": "MAE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "967539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "SAAR",
            "middle_name": "BURNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.