Individual provider · Type 1 NPI

Jacqlyn Raivo, RDN

Registered Dietitian · Meridian, ID

NPI number 1740746403 Active

Practice location

1859 S Topaz Way Ste 100
Meridian, ID 83642-4401

Call (208) 209-2432 Map

Fax (847) 859-5885

Mailing address

175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD1101 (ID)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1740746403

Jacqlyn Raivo, RDN's National Provider Identifier is 1740746403, issued on Feb 18, 2019. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Meridian, ID. The record was last updated on Feb 18, 2019.