Active NPI
Michele Dawn Rexroad, RD,LD
- Registered Dietitian
- Beckley, WV
National Provider Identifier
1689766040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 476
- Practice address
- 310 George St
Beckley, WV 25801-2653 - Phone
- (304) 254-9022
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 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 | 476 | WV | Primary |
Addresses
Primary practice location
310 George St
Beckley, WV 25801-2653
Mailing address
RR 1 Box 267C
Fayetteville, WV 25840-9755
Phone (304) 465-0478
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 |
|---|---|---|---|
| 476 | WV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689766040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 267C",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258409755",
"telephone_number": "304-465-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 GEORGE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012653",
"telephone_number": "304-254-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REXROAD",
"first_name": "MICHELE",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.