Individual provider Active NPI

Rebecca Tonnessen Niitzel, MSCN, RDN, CDN

  • Registered Dietitian
  • Tarrytown, NY
National Provider Identifier
1730956657
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86050915 Issued in NY
Practice address
1440 Crescent Dr
Tarrytown, NY 10591-5841
Phone
(908) 894-0334
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 86050915 NY Primary

Addresses

Primary practice location

1440 Crescent Dr
Tarrytown, NY 10591-5841

Mailing address

1440 Crescent Dr
Tarrytown, NY 10591-5841
Phone (908) 894-0334

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
89286TXMDProfessional Counselor
86050915NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1730956657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CRESCENT DR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915841",
            "telephone_number": "908-894-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CRESCENT DR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915841",
            "telephone_number": "908-894-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIITZEL",
        "first_name": "REBECCA",
        "middle_name": "TONNESSEN",
        "credential": "MSCN, RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86050915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.