Individual provider Active NPI

Rose Diana Weisenstein, RD, LDN

  • Registered Dietitian
  • Brentwood, MO
National Provider Identifier
1992340905
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2019040078 Issued in MO
Practice address
2001 S Hanley Rd Ste 540
Brentwood, MO 63144-1500
Phone
(314) 971-0489
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 164007700 IL
Registered Dietitian 133V00000X 2019040078 MO Primary

Addresses

Primary practice location

2001 S Hanley Rd Ste 540
Brentwood, MO 63144-1500

Mailing address

525 Avery HL
Belleville, IL 62223-4835
Phone (618) 401-1891

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roseweisenstein@studio-element.net Direct

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

LicenseStateTypeSpecialty
164007700ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1992340905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVERY HL",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622234835",
            "telephone_number": "618-401-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD STE 540",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441500",
            "telephone_number": "314-971-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENSTEIN",
        "first_name": "ROSE",
        "middle_name": "DIANA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007700",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019040078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roseweisenstein@studio-element.net",
            "affiliation": "N",
            "endpointDescription": "Work Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2001 S Hanley Rd Ste 540",
            "city": "Brentwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631441500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.