CAYLEE KETCHUM


Address: 1098 E Winslow St, Meridian, ID 83642-4050
Phone: 2088603451

CAYLEE KETCHUM (NPI# 1104352194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104352194
Entity Type Individual
Full Name CAYLEE KETCHUM
Credential RD, LD
Practice Address 1098 E Winslow St
Meridian
ID 83642-4050
Practice Telephone 2088603451
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered D705 ID Dietary & Nutritional Service Providers

Office Location

Street Address 1098 E WINSLOW ST
City MERIDIAN
State ID
Zip Code 83642-4050

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992310148 Ellie Rock Dietitian, Registered 5424 N Sun Shimmer Ave, Meridian, ID 83646-5536 2020-09-14
1063035004 Chrisann M Hinson Dietitian, Registered 4716 W Quaker Ridge Dr, Meridian, ID 83646-5042 2020-05-26
1609497551 Aaron Robert Calvano Dietitian, Registered 5350 N Moose Creek Ave, Meridian, ID 83646-3639 2020-05-01
1154966547 Gabrielle Boobar Dietitian, Registered 1303 E Central Dr, Meridian, ID 83642-7991 2019-11-09
1326530932 Linda Kees Dietitian, Registered 520 S Eagle Rd Ste 1223, Meridian, ID 83642-6355 2018-05-31
1457868531 Rachel Myers Dietitian, Registered 520 S Eagle Rd Ste 1229, Meridian, ID 83642-6355 2018-01-10
1366951261 Kelsea Hopkins Dietitian, Registered 868 E Ringneck St, Meridian, ID 83646-4498 2017-09-22
1225562002 Callie Miller Dietitian, Registered 934 N Stonehenge Way, Meridian, ID 83642-4000 2017-04-18
1205284213 Andrea L Bailey Dietitian, Registered 5710 W Mattawa Dr, Meridian, ID 83646-7428 2016-05-31
1740600782 Chelsea Schoenfelder Dietitian, Registered 2450 E Gala St., Suite 100, Meridian, ID 83642 2014-04-17
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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