Active NPI
Rebecca Hanberg, MS, RDN
- Registered Dietitian
- Ogden, UT
National Provider Identifier
1528947884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 12923567-4901
- Practice address
- 2909 Washington Blvd Ste 209
Ogden, UT 84401-4054 - Phone
- (801) 796-2763
- NPI assigned
- Aug 30, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 12923567-4901 | UT | Primary |
Addresses
Primary practice location
2909 Washington Blvd Ste 209
Ogden, UT 84401-4054
Mailing address
5976 S 2100 W
Roy, UT 84067-1456
Phone (307) 679-0503
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12923567-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Komplete Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
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": "1756512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756512000000",
"number": "1528947884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5976 S 2100 W",
"city": "ROY",
"state": "UT",
"postal_code": "840671456",
"telephone_number": "307-679-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 WASHINGTON BLVD STE 209",
"city": "OGDEN",
"state": "UT",
"postal_code": "844014054",
"telephone_number": "801-796-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANBERG",
"first_name": "REBECCA",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-30",
"last_updated": "2025-08-30",
"certification_date": "2025-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "12923567-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.