KATIE JO LEASK


Address: 2375 Coronado St, Idaho Falls, ID 83404-7407
Phone: 2085224600

KATIE JO LEASK (NPI# 1235780990) 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) 1235780990
Entity Type Individual
Full Name KATIE JO LEASK
Credential RD, LD, IBCLC
Practice Address 2375 Coronado St
Idaho Falls
ID 83404-7407
Mailing Address 352 Kimberly Dr
Idaho Falls
ID 83401-3821
Practice Telephone 2085224600
Mailing Telephone 2085214079
Enumeration Date 2019-09-24
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered D-655 ID Dietary & Nutritional Service Providers
N 174N00000X Lactation Consultant, Non-RN L-62086 ID Other Service Providers

Office Location

Street Address 2375 CORONADO ST
City IDAHO FALLS
State ID
Zip Code 83404-7407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770577728 Ron Wade Porter Pediatrics 2375 Coronado St, Idaho Falls, ID 83404-7407 2005-09-06
1255621793 Mitchael Conrad Steorts Pediatrics 2375 Coronado St, Idaho Falls, ID 83404-7407 2011-04-18
1366560971 Idaho Falls Pediatrics Pediatrics 2375 Coronado St, Idaho Falls, ID 83404-7407 2007-03-26
1477608099 Darin Leslie Physician Assistant 2375 Coronado St, Idaho Falls, ID 83404-7407 2007-01-24
1043204746 Scott Alan Smith Pediatrics 2375 Coronado St, Idaho Falls, ID 83404-7407 2005-09-08
1760476469 Joseph Reed Moore Pediatrics 2375 Coronado St, Idaho Falls, ID 83404-7407 2005-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
Find all providers in zip 83404

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
1588129746 Rebecca Armstrong Jones Dietitian, Registered 524 Whittier St, Idaho Falls, ID 83401-2627 2019-02-01
1457855538 Emily Clare Mcmullin Dietitian, Registered 3318 Blaze Dr, Idaho Falls, ID 83401-6458 2018-03-22
1679087902 Chera Bessie Morris Dietitian, Registered 2235 E 25th St Ste 280, Idaho Falls, ID 83404-7538 2017-11-22
1922415249 Food Freedom Nutrition, LLC Dietitian, Registered 2235 East 25th Street Suite #280, Idaho Falls, ID 83404 2014-07-18
1801114855 Anna Long Dietitian, Registered 4150 Silverado Dr, Idaho Falls, ID 83404-7788 2010-05-13
1467770792 Lindsay Venn Dietitian, Registered 3320 S 25th E, Idaho Falls, ID 83404 2010-05-11
1497997159 Carol Diane Atchison Dietitian, Registered 5957 W. 33rd South, Idaho Falls, ID 83402-5682 2009-03-27
1225236037 Sandra Birch Dietitian, Registered 2860 Channing Way Ste 102, Idaho Falls, ID 83404-7532 2007-07-03
1154944288 Kristina Stickley Dietitian, Registered 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-05-22
1942854419 Luke David Beck Dietitian, Registered 2325 Coronado St., Idaho Falls, ID 83404 2019-08-01
Find all providers in IDAHO FALLS

Competitor

Search similar providers

City IDAHO FALLS
Zip Code 83404

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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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