JENNIFER BEAZER (NPI# 1053733428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053733428 |
Entity Type | Individual |
Full Name | JENNIFER BEAZER |
Credential | RD, CSP, LD |
Practice Address |
100 E Idaho St Ste 200 Boise ID 83712-6270 |
Practice Telephone | 2083817081 |
Practice Fax Number | 2083817071 |
Mailing Telephone | 2083817081 |
Mailing Fax Number | 2083817071 |
Enumeration Date | 2014-01-20 |
Last Update Date | 2014-01-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
D470 | ID | Dietary & Nutritional Service Providers |
Street Address |
100 E IDAHO ST STE 200 |
City | BOISE |
State | ID |
Zip Code | 83712-6270 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023201084 | St Lukes Regional Medical Center | Clinic/Center | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2007-08-23 |
1750940870 | Laura Elizabeth Marx | Genetic Counselor, MS | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2019-06-12 |
1104391424 | Kimberly Jo Schmidt | Dietitian, Registered | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2018-10-13 |
1669954129 | Rachel Cleona Hernandez | Dietitian, Registered | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2018-08-31 |
1699166306 | Danielle Nebeker | Dietitian, Registered | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2015-02-17 |
1659665545 | Laura Margaret Boquette | Dietitian, Registered | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2011-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
Find all providers in zip 83712 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558664755 | Marjorie Conrad Rich | Dietitian, Registered | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2010-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275552978 | Barbara J Moulton | Dietitian, Registered | 2220 E 25th St, Idaho Falls, ID 83404-7542 | 2006-07-19 |
1669405932 | Jean R Halford | Dietitian, Registered | 2220 E 25th St, Idaho Falls, ID 83404-7542 | 2006-07-09 |
1013940386 | Rebecca T Sulik | Dietitian, Registered | 2220 E 25th St, Idaho Falls, ID 83404-7542 | 2006-07-09 |
Please comment or provide details below to improve the information on JENNIFER BEAZER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.