Provider Demographics
NPI:1801411400
Name:ALBAKRI, RACHEL GATTA (RD, LD/N)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:GATTA
Last Name:ALBAKRI
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-0388
Mailing Address - Country:US
Mailing Address - Phone:813-250-9101
Mailing Address - Fax:813-844-4952
Practice Address - Street 1:5 TAMPA GENERAL CIR STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3578
Practice Address - Country:US
Practice Address - Phone:813-250-9101
Practice Address - Fax:813-844-4952
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9296133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered