{"npi":"1740746403","type":"NPI-1","status":"active","name":{"display":"Jacqlyn Raivo Rdn","other":[],"first":"JACQLYN","last":"RAIVO","credential":"RDN"},"specialty":{"primary_taxonomy":"133V00000X","primary_taxonomy_description":"Registered Dietitian","slug":"registered-dietitian","schema_org_specialty":null,"all":[{"code":"133V00000X","description":"Registered Dietitian","primary":true,"state":"ID","license":"D1101"}]},"addresses":[{"purpose":"LOCATION","street_1":"1859 S TOPAZ WAY STE 100","city":"MERIDIAN","state":"ID","postal_code":"836424401","country_code":"US","phone":"2082092432","fax":"8478595885"},{"purpose":"MAILING","street_1":"175 E HAWTHORN PKWY STE 235","city":"VERNON HILLS","state":"IL","postal_code":"600611454","country_code":"US","phone":"8477378768","fax":"8478595885"}],"license":{"state":"ID","number":"D1101"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190405000790","type_code":"14-71","type_desc":"PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL","state":"ID","pac_id":"4880935550"}]},"enumeration_date":"2019-02-18","last_updated":"2019-02-18","_meta":{"source":"NPPES","snapshot_date":"2019-02-18","doc_url":"https://findmynpi.com/api"}}