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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
Street Address |
1003 WILLOW CREEK RD |
City | PRESCOTT |
State | AZ |
Zip Code | 86301-1641 |
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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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 |
Find all providers in zip 86301 |
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 |
---|---|---|---|---|
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 |
Find all providers in PRESCOTT |
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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.