Individual provider Active NPI

Rachel Marie Punch, RD, LDN, CLC, CLT

  • Registered Dietitian
  • Gulf Shores, AL
National Provider Identifier
1255885240
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3204 Issued in AL
Practice address
232 Professional CT Ste a
Gulf Shores, AL 36542-3523
Phone
(985) 278-0753
NPI assigned
Aug 8, 2016
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3204 AL Primary
Registered Dietitian 133V00000X 2709 LA

Addresses

Primary practice location

232 Professional CT Ste a
Gulf Shores, AL 36542-3523

Mailing address

1905 Frontera St
Navarre, FL 32566-9133
Phone (985) 278-0753

Other practice location 1

1905 Frontera St
Navarre, FL 32566-9133
Phone (985) 278-0753

Other practice location 2

10824 War Emblem Ave
Daphne, AL 36526-0708
Phone (985) 278-0753

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachelpunch@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1255885240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 FRONTERA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669133",
            "telephone_number": "985-278-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 PROFESSIONAL CT STE A",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423523",
            "telephone_number": "985-278-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Frontera St",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325669133",
            "country_code": "US",
            "telephone_number": "985-278-0753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10824 War Emblem Ave",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365260708",
            "country_code": "US",
            "telephone_number": "985-278-0753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNCH",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CLC, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-10-06",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "3204",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.