Active NPI
Deborah Susan Rachles, RD
- Registered Dietitian
- Arcadia, FL
National Provider Identifier
1871743112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND4687
- Practice address
- 1500 N Arcadia Ave
Arcadia, FL 34266-8820 - Phone
- (863) 990-1867
- NPI assigned
- Sep 23, 2008
- Last updated
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND4687 | FL | Primary |
Addresses
Primary practice location
1500 N Arcadia Ave
Arcadia, FL 34266-8820
Mailing address
1500 N Arcadia Avenue
Arcadia, FL 34266
Phone (863) 990-1867
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 726120 | Other | AMERICAN DIETITIC ASSOCIATION | |
| ND4687 | Other | FL | LICENSED DIETITIAN FLORIDA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND4687 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1871743112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N ARCADIA AVENUE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "34266",
"telephone_number": "863-990-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N ARCADIA AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668820",
"telephone_number": "863-990-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHLES",
"first_name": "DEBORAH",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIETITIC ASSOCIATION",
"identifier": "726120",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN FLORIDA",
"identifier": "ND4687",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, FL
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- Debbie A Raymond
- Donald W Reimer, LCSW
- Yanet Reyes Cruz, NP
- Kayvondra Richardson, LPN
- Stacey Cupka Ricketts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.