Active NPI
Rachel Eleanor Mackinnon
- Registered Dietitian
- Colchester, CT
National Provider Identifier
1932073855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001921
- Practice address
- 343 Lebanon Ave Apt 2104
Colchester, CT 06415-2179 - Phone
- (860) 306-5807
- NPI assigned
- Oct 2, 2025
- 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 | 001921 | CT | Primary |
Addresses
Primary practice location
343 Lebanon Ave Apt 2104
Colchester, CT 06415-2179
Mailing address
343 Lebanon Ave Apt 2104
Colchester, CT 06415-2179
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 |
|---|---|---|---|
| 001921 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1932073855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 LEBANON AVE APT 2104",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064152179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 LEBANON AVE APT 2104",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064152179",
"telephone_number": "860-306-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKINNON",
"first_name": "RACHEL",
"middle_name": "ELEANOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.