Individual provider Active NPI

Deborah Lee Raunig, R.D.

  • Registered Dietitian
  • Polson, MT
National Provider Identifier
1336217611
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
313 Issued in MT
Practice address
510 21St Ave W
Polson, MT 59860-4047
Phone
(406) 883-5398
NPI assigned
Dec 2, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 313 MT Primary

Addresses

Primary practice location

510 21St Ave W
Polson, MT 59860-4047

Mailing address

2138 Meadowlark LN
Big Arm, MT 59910-9180
Phone (406) 849-5391

Other identifiers 1

IdentifierTypeStateIssuer
0280738MedicaidMT

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

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336217611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 MEADOWLARK LN",
            "city": "BIG ARM",
            "state": "MT",
            "postal_code": "599109180",
            "telephone_number": "406-849-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 21ST AVE W",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598604047",
            "telephone_number": "406-883-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUNIG",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280738",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.