BARBARA J MOULTON


Address: 2220 E 25th St, Idaho Falls, ID 83404-7542
Phone: 2085231122

BARBARA J MOULTON (NPI# 1275552978) 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) 1275552978
Entity Type Individual
Full Name BARBARA J MOULTON
Practice Address 2220 E 25th St
Idaho Falls
ID 83404-7542
Practice Telephone 2085231122
Practice Fax Number 2085232582
Mailing Telephone 2085231122
Mailing Fax Number 2085232582
Enumeration Date 2006-07-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
D311 ID Dietary & Nutritional Service Providers

Office Location

Street Address 2220 E 25TH ST
City IDAHO FALLS
State ID
Zip Code 83404-7542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619977600 John E Liljenquist Internal Medicine 2220 E 25th St, Idaho Falls, ID 83404-7542 2005-07-30
1548597255 Idaho Falls Arthritis Clinic PC Internal Medicine 2220 E 25th St, Idaho Falls, ID 83404-7542 2009-11-17
1194818997 Craig D Scoville Internal Medicine 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-10-02
1649388703 Kesta L Taylor Dietitian, Registered 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-08-29
1518075670 Brittany Mcintosh Dietitian, Registered 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-08-29
1669405932 Jean R Halford Dietitian, Registered 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-07-09
1295768562 Ronda K Harston 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
1659301349 Rm Lab LLC Clinical Medical Laboratory 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-07-05
1932109931 David Redford Liljenquist Internal Medicine 2220 E 25th St, Idaho Falls, ID 83404-7542 2005-08-01
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1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
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1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053733428 Jennifer Beazer Dietitian, Registered 100 E Idaho St Ste 200, Boise, ID 83712-6270 2014-01-20
1558664755 Marjorie Conrad Rich Dietitian, Registered 707 N Armstrong Pl, Boise, ID 83704-0825 2010-12-09

Competitor

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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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