Active NPIIndividual provider

Rachael Mitchum, RD, LD

Dietitian, Registered in Somerville, Massachusetts

NPI Number1861297061
Practice location
643 Broadway, Somerville, MA 02145-2528
Fax
617-616-3699
Last updated
February 13, 2025

Rachael Mitchum is a Dietitian, Registered based in Somerville, MA. Rachael Mitchum practices in Somerville, MA and has the professional credentials of RD, LD. The NPI Number for Rachael Mitchum is 1861297061 and holds a License No. 1629 (SC). The current practice location address for Rachael Mitchum is 643 Broadway, Somerville, MA 02145-2528 and can be reached out via phone at 617-616-3600 and via fax at 617-616-3699.

Provider Profile Details

NPI Number
1861297061
Provider Name
Rachael Mitchum
Credential
RD, LD
Provider Entity Type
Individual
Gender
Female
Address
643 Broadway, Somerville, MA 02145-2528
Phone Number
617-616-3600
Fax Number
617-616-3699
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
February 13, 2025
Last Update Date
February 13, 2025
Certification Date
February 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
643 Broadway
Somerville, MA 02145-2528
Zip
02145-2528
Phone Number
617-616-3600
Fax Number
617-616-3699
Somerville, MA 02145Get directions →

Provider Business Mailing Address Details

Address
22 Pearl St Apt 1
Somerville, MA 02145-3413
City
Somerville
State
MA
Zip
02145-3413
Phone Number
803-446-5186

License Information

License Number (1)
1629
License State (1)
SC
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
7320
License State (2)
MA
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rachael Mitchum, RD, LD?

The NPI number of Rachael Mitchum, RD, LD is 1861297061. It was assigned on February 13, 2025 and is currently active in the NPPES registry.

What is the specialty of Rachael Mitchum, RD, LD?

Rachael Mitchum, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in SC under license number 1629.

Where does Rachael Mitchum, RD, LD practice?

The practice location is 643 Broadway, Somerville, MA 02145-2528. The office can be reached at 617-616-3600 (phone) or 617-616-3699 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861297061 directly on the NPPES registry website.

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