MS. REBECCA KRAXBERGER


Address: 1003 Willow Creek Rd, Prescott, AZ 86301-1641
Phone: 9287595821

MS. REBECCA KRAXBERGER (NPI# 1295192789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295192789
Entity Type Individual
Full Name MS. REBECCA KRAXBERGER
Credential RD
Practice Address 1003 Willow Creek Rd
Prescott
AZ 86301-1641
Practice Telephone 9287595821
Mailing Telephone 9287595821
Enumeration Date 2016-01-28
Last Update Date 2016-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 1003 WILLOW CREEK RD
City PRESCOTT
State AZ
Zip Code 86301-1641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174528343 Robert William Halterman Family Medicine 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2005-06-15
1083211320 Wendy E Nelson Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1668 2020-10-08
1750909008 Shawn Jeffery Mitchell Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2020-07-13
1669019683 Justin Earl Rogers Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2019-12-09
1477116911 Anna Mattson Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2019-04-19
1790276608 Phillip Allen Schafer Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301 2018-05-25
1144724618 Richard Barclay Thompson Respiratory Therapist, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2018-03-20
1245774397 Stephen Green Physician Assistant 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-12-08
1427500107 Zachary Archer Perfusionist 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-10-28
1952753675 Candice Panton Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102350 Dove Marie Gundermann Specialist/Technologist 300 W. Gurley St, Prescott, AZ 86301 2020-07-30
1639712110 Arizona Orthopedic Physical Therapy, Pllc Clinic/Center 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 2019-10-28
1538714092 Prescott Complete Care Family Medicine 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 2019-08-01
1336612571 Sarah Elizabeth Elliott Registered Nurse 500 Az 89, Prescott, AZ 86301 2019-01-10
1912484270 Asya Ruth Perkins Counselor 225 Grove Avenue, Prescott, AZ 86301 2018-07-19
1396241394 Jerome Alexander Longoria Chiropractor 142 N. Rush St, Prescott, AZ 86301 2018-03-30
1619487675 Yavapai Healthcare Group LLC Nurse Practitioner 999 Division Street, Prescott, AZ 86301 2017-10-04
1053835843 United States Veterans Initiative Counselor 917 E Gurley St, Prescott, AZ 86301 2017-08-02
1164896999 Spitler - Lilley, LLC Hearing Instrument Specialist 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 2015-11-17
1275925265 Oral and Facial Surgery Center of Prescott Dentist 5415 Distiction Way, Prescott, AZ 86301 2015-02-27
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326549171 Kylie Nicole Crowe Dietitian, Registered 3120 Rainbow Ridge Dr, Prescott, AZ 86303-5767 2018-02-27
1225457146 Kathryn Kimball Dietitian, Registered 3181 Clearwater Drive, Suite B, Prescott, AZ 86305-7715 2014-04-08
1497859805 Denise Perry Dietitian, Registered 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 2006-09-08
1245348408 George Mark Coram Dietitian, Registered Navahcs 500 N Hwy 89, Prescott, AZ 86313 2006-08-28
1083211320 Wendy E Nelson Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1668 2020-10-08
1740829456 Jessica Folts Dietitian, Registered 500 N Us Highway 89, Prescott, AZ 86313-5001 2019-12-27
1578102570 Lisa Phillips Dietitian, Registered 500 N Us Highway 89, Prescott, AZ 86313-5001 2019-12-23
1275193880 Jerad Martel Miles Dietitian, Registered 500 Az-89, Prescott, AZ 86301 2019-06-17
1295222529 Jason P Olig Dietitian, Registered 500 N State Route 89, Prescott, AZ 86313-5001 2018-04-23
1316319064 Motoko Fanning Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86314 2015-10-21
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Competitor

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City PRESCOTT
Zip Code 86301

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Dataset Information

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.

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