Individual provider Active NPI

Rachel Ann David, MPH, RDN, LD

  • Oncology Nutrition Registered Dietitian
  • West Burlington, IA
National Provider Identifier
1255913208
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X
License
125602 Issued in IA
Practice address
1225 S Gear Ave
West Burlington, IA 52655-1691
Phone
(319) 768-3907
NPI assigned
Apr 28, 2021
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2016030006 MO
Pediatric Nutrition Registered Dietitian 133VN1004X 2016030006 MO
Oncology Nutrition Registered Dietitian 133VN1301X 125602 IA Primary

Addresses

Primary practice location

1225 S Gear Ave
West Burlington, IA 52655-1691

Mailing address

1225 S Gear Ave Ste 152
West Burlington, IA 52655-1686
Phone (816) 387-1077

Other practice location 1

1 Childrens Pl
Saint Louis, MO 63110-1081
Phone (314) 454-4249

Other names 1

  • Rachel Ann Pankau Former name

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

State licenses

LicenseStateTypeSpecialty
2016030006MOMDRegistered Dietitian
125602IAMDOncology Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1255913208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE STE 152",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551686",
            "telephone_number": "816-387-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551691",
            "telephone_number": "319-768-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Pl",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101081",
            "country_code": "US",
            "telephone_number": "314-454-4249",
            "fax_number": "314-454-2557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MPH, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2016030006",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MO",
            "license": "2016030006",
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "IA",
            "license": "125602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "PANKAU",
            "middle_name": "ANN",
            "credential": "MPH, RDN, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.