Racquel Praino, MS, RD
Individual provider Active NPI Registered Dietitian · Port Ewen, NY
NPI 1194577205 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1194577205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86066091
- Practice address
- 186 Broadway
Port Ewen, NY 12466-7707 - Phone
- (914) 299-5959
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
44 Holland Ave
Albany, NY 12208-3411
76 Firemens Way
Poughkeepsie, NY 12603-6519
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260331004133 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 7113402751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86066091 | Yes |
Addresses
Primary practice location
186 Broadway
Port Ewen, NY 12466-7707
Mailing address
186 Broadway
Port Ewen, NY 12466-7707
Phone (914) 299-5959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86066091 | Other | COMMISSION ON DIETETIC REGISTRATION | |
| 0074688 | Other | NY | NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS |
Other providers in Port Ewen, NY
- Gillian Murphy
- Jennifer Andrea Petruski
- Lisa Piccolo
- Port Ewen Pharmacy Inc
- Port Ewen RX Inc
- Barbara Ann Price
- Gregory Rogers
- Mary Roosa
- Peter James Rubertone
- Cheyanne Tallas Sandy
All providers in Port Ewen, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.