Jacquelyn Diane Raleigh, RD,LD,CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80736 Issued in TX

Practice address

6500 N Mopac
BLDG III, Ste 220
Austin, TX 78731

Phone

(512) 250-9140

Fax

(512) 250-2207

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jackie Hunter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shelley Madsen & Associates, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1417997024

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1639334691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13729 RESEARCH BLVD",
            "address_2": "STE 610-193",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501883",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC",
            "address_2": "BLDG III, STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEIGH",
        "first_name": "JACQUELYN",
        "middle_name": "DIANE",
        "credential": "RD,LD,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "DT80736",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "HUNTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunil Chandra Raju
• Mora Rak
• Hannah Rakestraw, LCSW
• Elizabeth Rakun
• Kristen Jean Rakun, M.ED. BCBA
• Robert Cecil Raley, M.D.
• Philip Mark Ralidis, DO
• Geoffrey Quentin Ralls II, MS, LPC
• Katherine Anne Elizabeth Ralston
• Lauren Beth Ralston, AU.D.

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.