Active NPI
Rebecca J Sutay, RD, CDE
- Registered Dietitian
- Leonardtown, MD
National Provider Identifier
1962698803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DO 0679
- Practice address
- 25500 Point Lookout Road
Leonardtown, MD 20650-0587 - Phone
- (301) 475-6185
- Fax
- (301) 475-6143
- NPI assigned
- Sep 24, 2007
- 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 | DO 0679 | MD | Primary |
Addresses
Primary practice location
25500 Point Lookout Road
Leonardtown, MD 20650-0587
Mailing address
P O Box 527
25500 Point Lookout Road
Leonardtown, MD 20650-0587
Phone (301) 475-6185
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 0679 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1962698803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 527",
"address_2": "25500 POINT LOOKOUT ROAD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206500587",
"telephone_number": "301-475-6185",
"fax_number": "301-475-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 POINT LOOKOUT ROAD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206500587",
"telephone_number": "301-475-6185",
"fax_number": "301-475-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTAY",
"first_name": "REBECCA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DO 0679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.