Provider Demographics
NPI:1083296008
Name:WEST, RACHEL C (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:C
Last Name:WEST
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4427 IMAGE CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-8005
Mailing Address - Country:US
Mailing Address - Phone:214-926-9746
Mailing Address - Fax:
Practice Address - Street 1:6841 VIRGINIA PKWY STE 103-134
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5710
Practice Address - Country:US
Practice Address - Phone:972-244-3215
Practice Address - Fax:214-975-1012
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86191133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered