MS. MARJORIE CONRAD RICH (NPI# 1558664755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558664755 |
| Entity Type | Individual |
| Full Name | MS. MARJORIE CONRAD RICH |
| Credential | MS, RD, LD, CDE |
| Practice Address |
707 N Armstrong Pl Boise ID 83704-0825 |
| Mailing Address |
2519 N Esquire Dr Boise ID 83704-6210 |
| Practice Telephone | 2088611777 |
| Mailing Telephone | 2083775881 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
D-038 | ID | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164564522 | Marjorie J Rich | Social Worker | 4810 Northwestern Ave, Racine, WI 53406-1504 | 2007-02-13 |
| Street Address |
707 N ARMSTRONG PL |
| City | BOISE |
| State | ID |
| Zip Code | 83704-0825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326009648 | Public Health District Iv | Family Medicine | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2006-03-28 |
| 1023656782 | Ryan Atwood | Family Medicine | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2019-12-12 |
| 1669997797 | Jamie Rae Larsen | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2017-08-09 |
| 1902267842 | Eileen Ursillo | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2016-03-18 |
| 1831557438 | Summer Eldredge | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2016-02-10 |
| 1396162905 | Jana Duncan | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2014-03-20 |
| 1801174966 | Laura Ruth Szymanski | Physician Assistant | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2011-07-23 |
| 1144527607 | Toni Carles | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2011-02-18 |
| 1548576234 | Angela Kay Spain | Dietitian, Registered | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2010-08-19 |
| 1265682744 | Katie Lynn Keenan | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2008-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053733428 | Jennifer Beazer | Dietitian, Registered | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2014-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275552978 | Barbara J Moulton | Dietitian, Registered | 2220 E 25th St, Idaho Falls, ID 83404-7542 | 2006-07-19 |
| 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 |
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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.