Provider Demographics
NPI:1629618244
Name:RIGBY, REBECCA IRENE (RD, LD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:IRENE
Last Name:RIGBY
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 METRIC BLVD APT 1231
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-8641
Mailing Address - Country:US
Mailing Address - Phone:214-558-7726
Mailing Address - Fax:
Practice Address - Street 1:12100 METRIC BLVD APT 1231
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-8641
Practice Address - Country:US
Practice Address - Phone:214-558-7726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85739133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
86117757OtherCOMMISSION ON DIETETIC REGISTRATION