Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqlyn Raivo, RDN

Individual provider Registered Dietitian · NPI 1740746403

Jacqlyn Raivo, RDN is a Registered Dietitian OR Nutrition Professional in Meridian, Idaho. Qualified in 2018, 8 years ago. Practices with Rocky Mountain Diabetes and Osteoporosis Center PA, a 14-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2019
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1859 S Topaz Way Ste 100
Meridian, ID 83642-4401
Phone: (208) 209-2432
Fax: (847) 859-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D1101 (ID)

Record details

NPI number1740746403
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedFebruary 18, 2019
Last updated in NPPESFebruary 18, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rocky Mountain Diabetes And Osteoporosis Center Pa — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian