Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RACHELLE CAVINESS, RD, CD
ActivePediatric Nutrition · LAKE TAPPS, WA
Registration Details
- NPI Number
- 1861017154
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2020 (5.8631451706852 yrs)
- Last Updated
- Feb 25, 2021
- License
-
DI61004749 (WA)
Practice Information
- Address
-
4913 W TAPPS DR ELAKE TAPPS, WA, 983918931Browse WA providers · Browse ZIP 98391
- Phone
- 2532324709
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.