Active NPI
Rita Hebblethwaite, RDN
- Registered Dietitian
- Hattiesburg, MS
National Provider Identifier
1861045247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D2166
- Practice address
- 5909 U S Highway 49 Ste 30
Hattiesburg, MS 39402-2860 - Phone
- (601) 296-2780
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 | D2166 | MS | Primary |
Addresses
Primary practice location
5909 U S Highway 49 Ste 30
Hattiesburg, MS 39402-2860
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2166 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients |
Locations
5909 U S Highway 49
Ste 30
Hattiesburg, MS 39402
Phone (601) 296-2780
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1861045247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-264-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 U S HIGHWAY 49 STE 30",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394022860",
"telephone_number": "601-296-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBBLETHWAITE",
"first_name": "RITA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D2166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.