REBECCA R BOGER


Address: 1200 N Beaver St, Flagstaff, AZ 86001-3118
Phone: 9282142800

REBECCA R BOGER (NPI# 1235797283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235797283
Entity Type Individual
Full Name REBECCA R BOGER
Credential RDN
Practice Address 1200 N Beaver St
Flagstaff
AZ 86001-3118
Practice Telephone 9282142800
Enumeration Date 2019-06-04
Last Update Date 2019-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86102299 AZ Dietary & Nutritional Service Providers

Office Location

Street Address 1200 N BEAVER ST
City FLAGSTAFF
State AZ
Zip Code 86001-3118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346241189 Alvin B Elisco Internal Medicine 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 2005-08-02
1285240515 Amika Noel Nurse Anesthetist, Certified Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-09-22
1669084190 Margaret Grace Mcgough Registered Nurse 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-08-17
1942818398 Regan Rowson Registered Nurse 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-07-21
1871118984 Nancy Gloria Flores Audiologist 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-06-15
1679100705 Kristy Anderson Occupational Therapist 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-03-26
1164058087 Bryan J Ebeling Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-03-23
1447808407 Bryce Aldworth Randall Registered Nurse 1200 N Beaver St, Flagstaff, AZ 86001-3118 2019-09-03
1851952162 Samuel Small Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2019-06-26
1376001321 Briklin Pierce Arocho Registered Nurse 1200 N Beaver St, Flagstaff, AZ 86001-3118 2019-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
1962033712 Laura-lee Prescott Social Worker Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 2020-01-30
1194360784 Trinity Medical Consultants Pllc Internal Medicine 1521 N Cliff Drive, Flagstaff, AZ 86001 2019-11-07
1154849610 Altacare, LLC Family Medicine 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 2017-09-05
1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
1255860763 Welbrook Senior Living Flagstaff LLC Skilled Nursing Facility 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 2017-06-08
1912432675 Ryan Tiscareno Specialist/Technologist 621 West Cherry Ave, Flagstaff, AZ 86001 2017-05-01
1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
1932592599 Kristen Flugstad Psyd, LLC Psychologist 125 East Elm Avenue #203, Flagstaff, AZ 86001 2015-03-06
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114480183 Evolve Flagstaff LLC Dietitian, Registered 123 W Birch Ave Ste 100, Flagstaff, AZ 86001-4508 2019-04-08
1043705577 Lorraine Damiani Crim Dietitian, Registered 718 W Grand Canyon Ave, Flagstaff, AZ 86001-5413 2018-06-27
1417340548 Kirstin Nelson Dietitian, Registered 1000 N Humphreys St Ste 210, Flagstaff, AZ 86001-3125 2015-03-13
1013263466 Angela Marie Onsgard Dietitian, Registered 2393 W Cripple Creek Dr, Flagstaff, AZ 86001-2680 2012-08-02
1801048467 Peak Nutrition, Pllc Dietitian, Registered 97 Kletha Trl, Flagstaff, AZ 86001-9655 2008-10-15
1033301874 Gayle Marie Baingo Dietitian, Registered 1210 W Davis Way, Flagstaff, AZ 86001-1201 2007-08-15
1922143924 Jody Hoskins Dietitian, Registered 1200 N Beaver St., Flagstaff, AZ 86001-3118 2007-02-20
1477654903 Diane L Phillips Dietitian, Registered 1215 N Beaver St Ste 201, Flagstaff, AZ 86001-3126 2006-09-26
1093351652 Mary Layne Graham Dietitian, Registered 1000 N Humphreys St Ste 210, Flagstaff, AZ 86001-3125 2019-11-19
1104391069 Brittany Ryann Thorpe Dietitian, Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2018-10-08
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Competitor

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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