Provider Demographics
NPI:1154834612
Name:BIGGERS, RACHAEL (RD)
Entity type:Individual
Prefix:MISS
First Name:RACHAEL
Middle Name:
Last Name:BIGGERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 PENN CT UNIT 8
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-7823
Mailing Address - Country:US
Mailing Address - Phone:623-298-9496
Mailing Address - Fax:
Practice Address - Street 1:1002 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-2425
Practice Address - Country:US
Practice Address - Phone:319-298-2246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA089638133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered