Provider Demographics
NPI:1508909193
Name:SAAR, REBEKAH BURNS (RD)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:BURNS
Last Name:SAAR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:MAE
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1233 SOUTHWEST AVE EXT
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-6519
Mailing Address - Country:US
Mailing Address - Phone:423-979-3200
Mailing Address - Fax:423-979-3261
Practice Address - Street 1:1233 SOUTHWEST AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6596
Practice Address - Country:US
Practice Address - Phone:423-979-3200
Practice Address - Fax:423-979-3261
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN967539133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered