Active NPI
Rachel (Rae) L Holbrook, MS, RDN, LD, CDCES
- Registered Dietitian
- Laramie, WY
National Provider Identifier
1720542269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 447
- Practice address
- 1858 Dillon St
Laramie, WY 82072-2566 - Phone
- (086) 690-4162
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 447 | WY | Primary |
| Registered Dietitian | 133V00000X | D-1075 | ID |
Addresses
Primary practice location
1858 Dillon St
Laramie, WY 82072-2566
Mailing address
1858 Dillon St
Laramie, WY 82072-2566
Phone (208) 669-0416
Other names 1
- Rachel (Rae) Krick
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 447 | WY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1720542269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1858 DILLON ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722566",
"telephone_number": "208-669-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1858 DILLON ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722566",
"telephone_number": "086-690-4162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "RACHEL (RAE)",
"middle_name": "L",
"credential": "MS, RDN, LD, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WY",
"license": "447",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-1075",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL (RAE)",
"last_name": "KRICK",
"credential": "RDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.