Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQLYN RAIVO, RDN
ActiveJACQLYN RAIVO, RDN is a Registered Dietitian healthcare provider located in MERIDIAN, Idaho. NPI 1740746403 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · MERIDIAN, ID
Registration Details
- NPI Number
- 1740746403
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2019 (7.68873576103 yrs)
- Last Updated
- Feb 18, 2019
- License
-
D1101 (ID)
Practice Information
- Address
-
1859 S TOPAZ WAY STE 100MERIDIAN, ID, 836424401Browse ID providers · Browse ZIP 83642
- Phone
- 2082092432
- Fax
- 8478595885
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| JOLYN M SEIBERT | R.D. | 1891973244 |
| KELLY V TSOUGAS | M.S., R.D., L.D.N | 1255655569 |
| EILEEN MYERS | RD | 1033400643 |
| MARY M BOSCO | RD | 1871867879 |
| CHELSEA SCHOENFELDER | MPH, RD, LD | 1740600782 |
| MRS. CHARMIN RENAE ASCHENBRENER | — | 1811309784 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.