Active NPI
Rachel Tefft, R.D.
- Registered Dietitian
- Mercer Island, WA
National Provider Identifier
1306117452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1067739
- Practice address
- 2448 76TH Ave SE
Suite #212
Mercer Island, WA 98040-2781 - Phone
- (206) 295-6810
- NPI assigned
- Jan 21, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 1067739 | WA | Primary |
Addresses
Primary practice location
2448 76TH Ave SE
Suite #212
Mercer Island, WA 98040-2781
Mailing address
657 Alder St
Edmonds, WA 98020-3415
Phone (508) 737-2285
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1067739 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1306117452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 ALDER ST",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203415",
"telephone_number": "508-737-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 76TH AVE SE",
"address_2": "SUITE #212",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402781",
"telephone_number": "206-295-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEFFT",
"first_name": "RACHEL",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-21",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "1067739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.