Kayleigh Raville, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

19031024 Issued in NY

Practice address

4 Barton Rd
Plattsburgh, NY 12901-7106

Phone

(518) 572-4996

NPI assigned

Dec 10, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1558769307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BARTON RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017106",
            "telephone_number": "518-572-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BARTON RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017106",
            "telephone_number": "518-572-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVILLE",
        "first_name": "KAYLEIGH",
        "name_prefix": "Mrs.",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "19031024",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piratheep Rajan, M.D.
• Randy S Stoloff MD Adult & Pediatric Asthma & Allery PLLC
• Michelle Mary Evalynn Rascoe
• David Steinar Rasmussen, LMSW
• Gurkiranjit Kaur Rattu
• Bradley William Ray, DDS FRCDC(C)
• Susan A Rech, M.D.
• Kaitlyn Recny, M.S., CCC-SLP
• Duane C Record, M.D.
• Lisa Ann Recore, COTA/L

• Registered Dietitian in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.