Rachel Mackintosh, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10168416 Issued in OR

Practice address

5200 S Macadam Ave Ste 580
Portland, OR 97239-3837

Phone

(503) 231-7854

NPI assigned

Mar 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Portland DBT Institute, Inc.

  • Cognitive & Behavioral Psychologist
  • Portland, OR
  • NPI 1073853966
  Medicare reassignment NPD

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1659956431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025017",
            "telephone_number": "503-756-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S MACADAM AVE STE 580",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393837",
            "telephone_number": "503-231-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINTOSH",
        "first_name": "RACHEL",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10168416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lauren Mackiewicz Seghete, PH.D.
• Cameron Forsythe Mackinney
• Alyssa Mackintosh, LCSW
• Callum Hart Mackintosh
• Colleen Mackintosh, ATR LPC
• Lawrence Franklin Mackles, M.D.
• Donna B. Macklin, M.A.
• Nancy Lee Macklin, M.S.
• Greg S. Macknight, PTA
• Chelsea Maclane, PSY.D.

• Registered Dietitian in Portland, OR
• Providers in Portland, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.