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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RACHEL RENNICKE
NPI 1073204335
Specialist in Moorhead, MN

Active since May 17, 2023
1547 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, May 17, 2023 (2 updates tracked since 2023).

About Rachel Rennicke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL RENNICKE (NPI 1073204335) is an individual specialist in Moorhead, Minnesota and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1073204335
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameRACHEL RENNICKE
Location Address1547 30TH AVE SMoorhead, MN 56560-5149
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338
Phone(218) 287-4338
Sole ProprietorNo
Enumeration DateMay 17, 2023
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1073204335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1547 30TH AVE S, Moorhead, MN 56560
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCKENZIE JOHNSON
Behavior Analyst
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
KACI LONGTIN
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ALEXIS SERR
Behavior Technician
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ISABELLE CRESS
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
BROOKLYN BERGER
Behavior Technician
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
GARTAYE ZUO
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ZOEY HALLADA
Behavior Technician
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ASHLEY JONES
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Rennicke's NPI number?

The NPI number for Rachel Rennicke is 1073204335. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Rachel Rennicke located?

Rachel Rennicke practices at 1547 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 287-4338.

What is Rachel Rennicke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Rachel Rennicke was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.