Individual provider Active NPI

Rebekah Lynn Gaydosh, RDN, LD

  • Registered Dietitian
  • Tuscaloosa, AL
National Provider Identifier
1740824424
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3067 Issued in AL
Practice address
2805 7TH St
Tuscaloosa, AL 35401-1807
Phone
(716) 984-8559
NPI assigned
Nov 5, 2019
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 3067 AL Primary

Addresses

Primary practice location

2805 7TH St
Tuscaloosa, AL 35401-1807

Mailing address

2805 7TH St
Tuscaloosa, AL 35401-1807
Phone (716) 984-8559

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
3067ALMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1740824424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011807",
            "telephone_number": "716-984-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011807",
            "telephone_number": "716-984-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYDOSH",
        "first_name": "REBEKAH",
        "middle_name": "LYNN",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.