Rebekah Mae Burns, R.D.
Individual provider Active NPI Registered Dietitian · Pace, FL
NPI 1508909193 · NPPES record last updated Mar 30, 2025
Key facts
- NPI
- 1508909193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 967539 (TN)
- Practice address
- 5345 Peach Dr
Pace, FL 32571-2778 - Phone
- (864) 430-2425
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240418002649 | FL | Practitioner - Registered Dietitian Or Nutrition Professional | 2466898267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 847 | SC | MD | Chiropractor |
| 967539 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Coast Diabetes & Nutrition Center | Dietitian, Registered | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 967539 | TN | Yes |
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
- Rebekah Burns Saar
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.