Individual provider Active NPI

Rebekah Joyce Retterath, RD

  • Registered Dietitian
  • Yreka, CA
National Provider Identifier
1669796611
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
444 Bruce Street
Yreka, CA 96097
Phone
(530) 842-4121
Fax
(530) 841-6330
NPI assigned
Mar 19, 2010
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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 NU Primary

Addresses

Primary practice location

444 Bruce Street
Yreka, CA 96097

Mailing address

444 Bruce Street
Yreka, CA 96097
Phone (530) 842-4121

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

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1669796611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 BRUCE STREET",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "96097",
            "telephone_number": "530-842-4121",
            "fax_number": "530-841-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 BRUCE STREET",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "96097",
            "telephone_number": "530-842-4121",
            "fax_number": "530-841-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTERATH",
        "first_name": "REBEKAH",
        "middle_name": "JOYCE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.