Rebecca Egdorf, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT82416 Issued in TX

Practice address

14475 US Highway 160 Unit a
Del Norte, CO 81132-9713

Phone

(937) 726-7253

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

Yes

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.

• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2024.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1669211694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14475 US HIGHWAY 160 UNIT A",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811329713",
            "telephone_number": "937-726-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14475 US HIGHWAY 160 UNIT A",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811329713",
            "telephone_number": "937-726-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGDORF",
        "first_name": "REBECCA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim Clasen
• County of Rio Grande
• Del Norte Community Ambulance, Inc.
• Del Norte Community Ambulance, Inc.
• Nemonie Erin Donahue, CPM, RM
• Enduring Wellness Health Clinic
• First Responsek-9 Security LLC
• Conrad W Fitz, D.O.
• Jeffrey L Fraser, MD
• Jaden Frazier

• All providers in Del Norte, CO
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.