Active NPI
Rebecca Carol McDonald, RD
- Registered Dietitian
- Glenville, NY
National Provider Identifier
1538217948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 962107
- Practice address
- 9 Gleason Rd
Professional Building
Glenville, NY 12302-5307 - Phone
- (518) 384-0562
- NPI assigned
- Jan 8, 2007
- 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 | 962107 | NY | Primary |
Addresses
Primary practice location
9 Gleason Rd
Professional Building
Glenville, NY 12302-5307
Mailing address
9 Gleason Rd
Professional Building
Glenville, NY 12302-5307
Phone (518) 384-0562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000910 | Other | NY | MVP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962107 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1538217948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GLEASON RD",
"address_2": "PROFESSIONAL BUILDING",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123025307",
"telephone_number": "518-384-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 GLEASON RD",
"address_2": "PROFESSIONAL BUILDING",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123025307",
"telephone_number": "518-384-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "REBECCA",
"middle_name": "CAROL",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "962107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "6000910",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.