Individual provider Active NPI

Rebecca Fite Brooks, MPH, RD, LDN, CSR

  • Renal Nutrition Registered Dietitian
  • Kissimmee, FL
National Provider Identifier
1730392382
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
ND 5113 Issued in FL
Practice address
1154 Celebration Blvd
Kissimmee, FL 34747-4605
Phone
(407) 566-1780
Fax
(407) 566-1756
NPI assigned
May 8, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X ND 5113 FL Primary

Addresses

Primary practice location

1154 Celebration Blvd
Kissimmee, FL 34747-4605

Mailing address

500 Moonlight CT
Saint Cloud, FL 34771-9062
Phone (813) 313-7779

Other practice location 1

500 Moonlight Ct
Saint Cloud, FL 34771-9062
Phone (813) 313-7779

Other names 1

  • Rebecca Fite Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rbrooksrd@gmail.com Direct

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

LicenseStateTypeSpecialty
ND 5113FLMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Unutrition LLC CurrentSince Aug 23, 2020 Accepting new patients
Urenu LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1730392382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MOONLIGHT CT",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347719062",
            "telephone_number": "813-313-7779",
            "fax_number": "888-974-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 CELEBRATION BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474605",
            "telephone_number": "407-566-1780",
            "fax_number": "407-566-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Moonlight Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347719062",
            "country_code": "US",
            "telephone_number": "813-313-7779",
            "fax_number": "888-974-1047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "REBECCA",
        "middle_name": "FITE",
        "credential": "MPH, RD, LDN, CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND 5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rbrooksrd@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "business affiliated email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ANY",
            "address_1": "2412 Winchester Blvd",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347433627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FITE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.