RACHEL M. R. GORHAM RD, LD
NPI 1487278214
Dietitian, Registered in Blaine, MN

Q: What is Rachel Gorham's NPI number?

The NPI number for Rachel Gorham is 1487278214. It was assigned to this individual provider in the NPPES registry on June 8, 2020. The provider is also known as Rachel Megan Rubatt Rd, Ld.

Q: What is Rachel Gorham's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Gorham was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 08, 2020Accepts Medicare Assignment

11225 ULYSSES ST NE, BLAINE, MN 55434(763) 302-2600(763) 302-2601 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Jun 8, 2020 (2 updates tracked since 2020).

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About Rachel M. R. Gorham Rd, Ld NPPES

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

RACHEL M. R. GORHAM RD, LD (NPI 1487278214) is an individual dietitian, registered in Blaine, Minnesota, licensed in Minnesota (3830) and active in the NPI registry since June 2020. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1487278214

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameRACHEL M. R. GORHAMCredential: RD, LD

Location Address11225 ULYSSES ST NEBlaine, MN 55434-4261

Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600

Phone(763) 302-2600

Fax(763) 302-2601

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2020

Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1487278214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MN · 3830

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

11225 ULYSSES ST NE, Blaine, MN 55434

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Other Names 1

Former Name (1)Rachel Megan Rubatt Rd, Ld

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel M. R. Gorham Rd, Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133521669

PECOS Enrollment IDI20210707001109

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMUEL JOHN ARNOLD DPT

Physical Therapist