Individual provider Active NPI

Rebecca A Rajcich, RD, CD

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1386985430
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI 60193092 Issued in WA
Practice address
1904 3Rd Ave Ste 918
Seattle, WA 98101-3325
Phone
(206) 595-0976
Fax
(206) 347-6053
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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 DI 60193092 WA Primary

Addresses

Primary practice location

1904 3Rd Ave Ste 918
Seattle, WA 98101-3325

Mailing address

5923 178TH PL SW
Lynnwood, WA 98037-3521
Phone (425) 280-6476

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
DI 60193092WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1386985430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 178TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373521",
            "telephone_number": "425-280-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE STE 918",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013325",
            "telephone_number": "206-595-0976",
            "fax_number": "206-347-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJCICH",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RD, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60193092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.