Individual provider Active NPI

Rebecca Lee Rolph, MS RD LDN

  • Registered Dietitian
  • Erie, PA
National Provider Identifier
1558528786
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN002001 Issued in PA
Practice address
1510 State St
Perseus House
Erie, PA 16501-2220
Phone
(814) 480-5900
Fax
(814) 456-4229
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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 DN002001 PA Primary

Addresses

Primary practice location

1510 State St
Perseus House
Erie, PA 16501-2220

Mailing address

1035 W 39TH Street
Erie, PA 16509-1333
Phone (814) 864-6333

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

LicenseStateTypeSpecialty
DN002001PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1558528786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W 39TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091333",
            "telephone_number": "814-864-6333",
            "fax_number": "814-864-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 STATE ST",
            "address_2": "PERSEUS HOUSE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012220",
            "telephone_number": "814-480-5900",
            "fax_number": "814-456-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLPH",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.