JENNIFER RAYKOVICH (NPI# 1831542331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831542331 |
| Entity Type | Individual |
| Full Name | JENNIFER RAYKOVICH |
| Credential | RDN |
| Practice Address |
1221 Highland Ave Clarkston WA 99403-2829 |
| Mailing Address |
Po Box 189 1221 Highland Ave Clarkston WA 99403 |
| Practice Telephone | 5097585511 |
| Practice Fax Number | 5097589223 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI 60335514 | ID | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | D-627 | ID | Dietary & Nutritional Service Providers |
| Street Address |
1221 HIGHLAND AVE |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485221 | Tri-state Memorial Hospital | General Acute Care Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2005-05-27 |
| 1861011983 | Nicole Marie Bishop | Occupational Therapist | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2020-04-09 |
| 1164939500 | Emily Katherine Hunt | Health Educator | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2018-01-08 |
| 1477904282 | Leah Hart | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-23 |
| 1295186195 | Chelsey Marie Woods | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-22 |
| 1679923767 | Trudy Bly | Registered Nurse | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-20 |
| 1568812808 | Jennifer Brooke Lind | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-17 |
| 1265849152 | Claudia-denise Haivas | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2014-07-13 |
| 1073955266 | Healing Wings International Pllc | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2013-07-29 |
| 1447598214 | Bryan Phelps | Nurse Anesthetist, Certified Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2013-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275085623 | Melanie Shehan | Dietitian, Registered | 5132 Glenwood Crk, Clarkston, MI 48348-4839 | 2016-11-02 |
| 1477904282 | Leah Hart | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-23 |
| 1295186195 | Chelsey Marie Woods | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-22 |
| 1568812808 | Jennifer Brooke Lind | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-17 |
| 1194916775 | Dannette Frasier | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2007-08-07 |
| 1871714238 | Amy J Gustin | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403 | 2007-05-02 |
| 1962536565 | Michelle Lynn Skinner | Dietitian, Registered | 1221 Highland Avenue, Clarkston, WA 99403 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134256 | Hannah Baillie | Dietitian, Registered | 11651 Se 58th St, Bellevue, WA 98006-3722 | 2020-11-05 |
| 1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
| 1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
| 1598365876 | Michelle Irene Howe | Dietitian, Registered | 14808 23rd Ave Ne, Arlington, WA 98223-9701 | 2020-10-27 |
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1487253621 | Ellen Kim Cho | Dietitian, Registered | 530 Rosewood Dr Sw, Olympia, WA 98502-2686 | 2020-10-20 |
| 1427656925 | Jeannie Lise Belle Castell | Dietitian, Registered | 4229 Glen Terra Dr Se, Olympia, WA 98503-7165 | 2020-10-15 |
| 1104424845 | Mariia Byelykh | Dietitian, Registered | 20113 3rd Ave Se, Bothell, WA 98012-4521 | 2020-10-14 |
| 1629676499 | Shelley Lea Barnhart | Dietitian, Registered | 24315 Se 196th St, Maple Valley, WA 98038-8975 | 2020-10-14 |
| 1235737115 | Beth Ann Smith | Dietitian, Registered | 130 Teal Ln, Eastsound, WA 98245-5077 | 2020-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.