Provider Demographics
NPI:1629848999
Name:ROWLEY, REBECCA AMY (RD)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:AMY
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:AMY
Other - Last Name:BRUNDIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:519 VERNON CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1383
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:519 VERNON CIR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1383
Practice Address - Country:US
Practice Address - Phone:805-245-5365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered