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).
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 |
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 |
Street Address |
2375 CORONADO ST |
City | IDAHO FALLS |
State | ID |
Zip Code | 83404-7407 |
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 |
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 Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
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. |
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 |
City | IDAHO FALLS |
Zip Code | 83404 |
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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.