Active NPI
Rachel Tate, RD
- Registered Dietitian
- Hermiston, OR
National Provider Identifier
1356886063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDD10180961
- Practice address
- 610 NW 11TH St
Hermiston, OR 97838-6601 - Phone
- (541) 667-3517
- Fax
- (541) 667-3501
- NPI assigned
- Jan 4, 2017
- Last updated
- Jan 4, 2017
- 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 | LDD10180961 | OR | Primary |
Addresses
Primary practice location
610 NW 11TH St
Hermiston, OR 97838-6601
Mailing address
610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LDD10180961 | Other | OR | REGISTERED DIETITIAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDD10180961 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1356886063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 NW 11TH ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978386601",
"telephone_number": "541-667-3517",
"fax_number": "541-667-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 NW 11TH ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978386601",
"telephone_number": "541-667-3517",
"fax_number": "541-667-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "RACHEL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LDD10180961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "LDD10180961",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.