Active NPI
Rebecca Diane Levine
- Registered Dietitian
- Saint Peters, MO
National Provider Identifier
1952167140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 723071
- Practice address
- 2101 Maple Glen CT
Saint Peters, MO 63376-7806 - Phone
- (314) 606-4034
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 723071 | VA | Primary |
Addresses
Primary practice location
2101 Maple Glen CT
Saint Peters, MO 63376-7806
Mailing address
2101 Maple Glen CT
Saint Peters, MO 63376-7806
Phone (314) 606-4034
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 |
|---|---|---|---|
| 723071 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1952167140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 MAPLE GLEN CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767806",
"telephone_number": "314-606-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 MAPLE GLEN CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767806",
"telephone_number": "314-606-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "REBECCA",
"middle_name": "DIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "723071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.