Active NPI
Rae Kretzmer
- Registered Dietitian
- Pensacola, FL
National Provider Identifier
1164382693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 14564
- Practice address
- 2600 S Blue Angel Pkwy Apt 736
Pensacola, FL 32506-6149 - Phone
- (860) 818-1804
- NPI assigned
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 14564 | FL | Primary |
Addresses
Primary practice location
2600 S Blue Angel Pkwy Apt 736
Pensacola, FL 32506-6149
Mailing address
2600 S Blue Angel Pkwy Apt 736
Pensacola, FL 32506-6149
Phone (860) 818-1804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1164382693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S BLUE ANGEL PKWY APT 736",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325066149",
"telephone_number": "860-818-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S BLUE ANGEL PKWY APT 736",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325066149",
"telephone_number": "860-818-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRETZMER",
"first_name": "RAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "14564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.