Active NPI
Rebecca Mathien, MS,RD
- Registered Dietitian
- Gaithersburg, MD
National Provider Identifier
1629703491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX5696
- Practice address
- 201 Perry Pkwy Ste 5
Gaithersburg, MD 20877-2140 - Phone
- (240) 801-8686
- NPI assigned
- Jul 18, 2022
- Last updated
- Jul 18, 2022
- 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 | DX5696 | MD | Primary |
Addresses
Primary practice location
201 Perry Pkwy Ste 5
Gaithersburg, MD 20877-2140
Mailing address
1099 Winterson Rd
Linthicum, MD 21090-2216
Phone (800) 905-3261
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX5696 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Weight Management, LLC | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Linthicum Heights, MD
- NPI 1013785971
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1629703491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 WINTERSON RD",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902216",
"telephone_number": "800-905-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PERRY PKWY STE 5",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772140",
"telephone_number": "240-801-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEN",
"first_name": "REBECCA",
"credential": "MS,RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX5696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.