Rebecca McConville Incorporated

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

REBECCA MCCONVILLE INCORPORATED

Practice address

326 SE Douglas St Ste B
Lees Summit, MO 64063-2713

Phone

(816) 804-6599

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Rebecca McConville, MS, RD, LDN

Title

Owner

Phone

(816) 804-6599

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1861078248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SE DOUGLAS ST STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632713",
            "telephone_number": "816-804-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SE DOUGLAS ST STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632713",
            "telephone_number": "816-804-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA MCCONVILLE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "MCCONVILLE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-804-6599",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.