Individual provider Active NPI

Jill Kristine Rachels, RD

  • Registered Dietitian
  • Ridgecrest, CA
National Provider Identifier
1255420212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
719617 Issued in IL
Practice address
900 N Heritage Dr Ste E2
Ridgecrest, CA 93555-5544
Phone
(760) 446-7978
Fax
(760) 446-5998
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 719617 IL Primary

Addresses

Primary practice location

900 N Heritage Dr Ste E2
Ridgecrest, CA 93555-5544

Mailing address

659 S Central Valley Hwy
P.O. Box 1060
Shafter, CA 93263-2790
Phone (661) 459-1900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
719617ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients
Omni Family Health PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 51

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.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255420212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S CENTRAL VALLEY HWY",
            "address_2": "P.O. BOX 1060",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632790",
            "telephone_number": "661-459-1900",
            "fax_number": "661-459-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HERITAGE DR STE E2",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555544",
            "telephone_number": "760-446-7978",
            "fax_number": "760-446-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHELS",
        "first_name": "JILL",
        "middle_name": "KRISTINE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "719617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.