Physician Compare National (NPI:1659543692)

HEALTHCARE PROVIDER: REBEKAH EILEEN TIEXIERA R.D./ L.D.N.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659543692
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567681398
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190103002902
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TIEXIERA
	Individual professional last name
Provider First Name	REBEKAH
	Individual professional first name
Provider Middle Name	EILEEN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	23 BROWN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	207B
	Group Practice or individual's line 2 address
City	NORTH KINGSTOWN
	Group Practice or individual's city
State	RI
	Group Practice or individual's state
Zip Code	028525057
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4013793167
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y