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

Active since June 08, 2020
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: November 01, 2026.

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

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.

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
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
Open in Google Maps ↗

Other Names 1

Former Name (1)Rachel Megan Rubatt Rd, Ld

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel M. R. Gorham Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Rachel Gorham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infinite Health Collaborative, PA
22 mi
Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 728 clinicians in this Medicare group
NPI 1164474250 (952) 512-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600
HANNAH MARIE MARTIN DPT
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600
SARAH J JENKS DPT
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600
DR. TAYLOR J FREETLY MD
Orthopaedic Surgery (Sports Medicine)
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600
ELIZA S DAHLY PA-C
Physician Assistant
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600
ALEXIS HYDUKOVICH DPT
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600
KACI MARIE TRACZYK PT
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600
MARY A KOCH PT
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 302-2600

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 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.

Where is Rachel Gorham located?

Rachel Gorham practices at 11225 Ulysses St NE, Blaine, MN 55434. The listed phone number is (763) 302-2600.

What is Rachel Gorham's specialty?

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

Is Rachel Gorham enrolled in Medicare?

Yes. Rachel Gorham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachel Gorham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Gorham reassigns Medicare benefits to Infinite Health Collaborative, PA (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Gorham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.