Individual
REBECCA LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
(251) 544-2149
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1940
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE PAYEE NUMBER
AL
01
—
1063439065
MAIN GROUP NPI PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
09/08/2017
Last updated
05/09/2025
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