Active NPI
Luana Tomchak, R.D.
- Registered Dietitian
- Idaho Falls, ID
National Provider Identifier
1053570515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-106
- Practice address
- 1957 E 17TH St
Idaho Falls, ID 83404-6429 - Phone
- (208) 529-2352
- Fax
- (208) 528-3332
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-106 | ID | Primary |
Addresses
Primary practice location
1957 E 17TH St
Idaho Falls, ID 83404-6429
Mailing address
1957 E 17TH St
Idaho Falls, ID 83404-6429
Phone (208) 529-2352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-106 | ID | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1053570515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1957 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046429",
"telephone_number": "208-529-2352",
"fax_number": "208-528-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046429",
"telephone_number": "208-529-2352",
"fax_number": "208-528-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMCHAK",
"first_name": "LUANA",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.