Individual provider Active NPI

Rachel Tefft, R.D.

  • Registered Dietitian
  • Mercer Island, WA
National Provider Identifier
1306117452
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1067739 Issued in WA
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

Updated by the provider on Jan 21, 2012

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 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

LicenseStateTypeSpecialty
1067739WAMDRegistered 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.

Verify at the official NPI Registry.