Rebecca Julianne Klaeui

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

801 N Centennial CT
Coeur D Alene, ID 83814-9493

Phone

(208) 660-6685

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Michael R Dibenedetto MD PLLC

  dba North Idaho Cardiac Rehabilitation

  • Orthopaedic Surgery Physician
  • Ponderay, ID
  • NPI 1083809727
  Medicare reassignment NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1720704141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N CENTENNIAL CT",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149493",
            "telephone_number": "208-660-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CENTENNIAL CT",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149493",
            "telephone_number": "208-660-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAEUI",
        "first_name": "REBECCA",
        "middle_name": "JULIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glynda Kish, OFFICE COORDINATOR
• Danielle Nichole Kisler, LPC
• Kendyl Kissell, LCPC
• Jazmine Nichole Kitchen
• Philip A Kladar, MD
• Liliya V Klasing, PHARMD
• Mia Kleepsies
• Tanner Joseph Klein, DC
• Maryanne Kleven, OTRL
• Eric Klobetanz

• Registered Dietitian in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.