Individual provider Active NPI

Raquelle Weight, RDN

  • Registered Dietitian
  • Gilbert, AZ
National Provider Identifier
1760065916
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2451 E Baseline Rd Ste 130
Gilbert, AZ 85234-2487
Phone
(480) 399-6235
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 130
Gilbert, AZ 85234-2487

Mailing address

2451 E Baseline Rd Ste 200
Gilbert, AZ 85234-2405
Phone (480) 507-2199

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raquellew@canyonpeds.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pediatrics, Inc CurrentSince Feb 18, 2024 Accepting new patients
Canyon Pediatrics, Inc CurrentSince Mar 31, 2024 Accepting new patients

Locations

2451 E Baseline Rd
Ste 130
Gilbert, AZ 85234
Phone (480) 507-2213

2451 E Baseline Rd
Ste 200
Gilbert, AZ 85234
Phone (480) 507-2199

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBGIBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1760065916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342405",
            "telephone_number": "480-507-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342487",
            "telephone_number": "480-399-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGHT",
        "first_name": "RAQUELLE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raquellew@canyonpeds.com",
            "affiliation": "N",
            "address_1": "2451 E Baseline Rd Ste 130",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852342487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.