Active NPI
Raina Childers-Richmond, MS, RD, CHC
- Registered Dietitian
- Cape Girardeau, MO
National Provider Identifier
1417732801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2002012225
- Practice address
- 3054 Northchurch St
Cape Girardeau, MO 63701-2680 - Phone
- (573) 576-6290
- NPI assigned
- Aug 25, 2023
- Last updated
- May 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 2002012225 | MO | Primary |
Addresses
Primary practice location
3054 Northchurch St
Cape Girardeau, MO 63701-2680
Mailing address
3054 Northchurch St
Cape Girardeau, MO 63701-2680
Phone (573) 576-6290
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002012225 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1417732801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3054 NORTHCHURCH ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012680",
"telephone_number": "573-576-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3054 NORTHCHURCH ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012680",
"telephone_number": "573-576-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS-RICHMOND",
"first_name": "RAINA",
"credential": "MS, RD, CHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2002012225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.