NUTRITION DEJUNKED LLC (NPI# 1437779469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437779469 |
| Entity Type | Organization |
| Organization Name | NUTRITION DEJUNKED LLC |
| Practice Address |
3350 W Americana Ter Ste 215 Boise ID 83706-2545 |
| Practice Telephone | 2086292441 |
| Mailing Telephone | 2086292441 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | KATHRYN CALLAHAN (DIETITIAN) |
| Authorized Official Telephone | 2086292441 |
| Authorized Official Credential | MS, RDN, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
3350 W AMERICANA TER STE 215 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
|---|---|---|---|---|
| 1689272965 | Katelyn Diane John | Dietitian, Registered | 967 N Clithero Dr, Boise, ID 83703-5703 | 2020-10-09 |
| 1245855113 | Megan Jensen | Dietitian, Registered | 6929 W Trail Dr, Boise, ID 83704-4568 | 2020-06-16 |
| 1902445240 | Benjamin Von Lindern | Dietitian, Registered | 6333 N Buckley Pl, Boise, ID 83713-1204 | 2020-01-03 |
| 1215576095 | Lea Steiner | Dietitian, Registered | 500 W Fort St Stop 120, Boise, ID 83702-4501 | 2019-12-27 |
| 1508404880 | Morgan Alexis Pearson | Dietitian, Registered | 3301 W Camrose Ln, Boise, ID 83706-2712 | 2019-12-17 |
| 1720632433 | Jill Amber Leiser | Dietitian, Registered | 600 N Robbins Rd Ste 100, Boise, ID 83702-4564 | 2019-07-31 |
| 1790343127 | Carly Ruth Metcalf | Dietitian, Registered | 3562 S Tk Ave, Boise, ID 83705-5278 | 2019-05-31 |
| 1760049217 | Barbara Gordon | Dietitian, Registered | 2723 N Lakeharbor Ln, Boise, ID 83703-6240 | 2019-05-21 |
| 1538625827 | Boise Optimal Nutrition LLC | Dietitian, Registered | 6126 W State St Ste 206, Boise, ID 83703-2741 | 2019-02-12 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| Find all providers in BOISE | ||||
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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.