Individual provider Active NPI

Rebecca Marie Addison, RD

  • Registered Dietitian
  • Pittsburgh, PA
National Provider Identifier
1861050049
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN008662 Issued in PA
Practice address
5750 Baum Blvd # 306
Pittsburgh, PA 15206-3793
Phone
(412) 593-2048
Fax
(844) 311-7396
NPI assigned
Jun 3, 2019
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4208 MA
Registered Dietitian 133V00000X DN008662 PA Primary

Addresses

Primary practice location

5750 Baum Blvd # 306
Pittsburgh, PA 15206-3793

Mailing address

6707 Stanton Ave
Pittsburgh, PA 15206-1767
Phone (616) 212-8623

Other practice location 1

75 Auburn St
Cambridge, MA 02139
Phone (616) 212-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000116 PA Practitioner - Registered Dietitian Or Nutrition Professional 3678013570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Case Specific Nutrition LLCGroup PAC ID 6507164647, 10 clinicians

Practice addresses (Care Compare)

5750 Baum Blvd
Suite 306
Pittsburgh, PA 15206-3793
Phone 41259320481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4208MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Case Specific Nutrition LLC CurrentSince Aug 25, 2024 Accepting new patients
Case Specific Nutrition LLC Dietitian, Registered CurrentSince Aug 20, 2024 Accepting new patients

Locations

5750 Baum Blvd
#306
Pittsburgh, PA 15206
Phone (412) 593-2048

5750 Baum Blvd
Ste 306
Pittsburgh, PA 15206
Phone (412) 593-2048

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1861050049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 STANTON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061767",
            "telephone_number": "616-212-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BAUM BLVD # 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063793",
            "telephone_number": "412-593-2048",
            "fax_number": "844-311-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Auburn St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "02139",
            "country_code": "US",
            "telephone_number": "616-212-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4208",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.