Active NPI
Rebecca Esvelt
- Registered Dietitian
- Colville, WA
National Provider Identifier
1902851223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00000247
- Practice address
- 982 E Columbia Ave
Colville, WA 99114-3316 - Phone
- (509) 685-2561
- Fax
- (509) 685-2492
- NPI assigned
- May 24, 2006
- 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 | DI00000247 | WA | Primary |
Addresses
Primary practice location
982 E Columbia Ave
Colville, WA 99114-3316
Mailing address
982 E Columbia Ave
Colville, WA 99114-3316
Phone (509) 685-2561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3007630 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI00000247 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1902851223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 E COLUMBIA AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991143316",
"telephone_number": "509-685-2561",
"fax_number": "509-685-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 E COLUMBIA AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991143316",
"telephone_number": "509-685-2561",
"fax_number": "509-685-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESVELT",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00000247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3007630",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.