Active NPI
Valerie Wass, RDN, LDN
- Registered Dietitian
- Boise, ID
National Provider Identifier
1053809376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164006974
- Practice address
- 901 N Curtis Rd Ste 501
Boise, ID 83706-1343 - Phone
- (208) 302-0600
- Fax
- (208) 302-0755
- NPI assigned
- Apr 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164006974 | IL | Primary |
| Registered Dietitian | 133V00000X | 4981813 | ID |
Addresses
Primary practice location
901 N Curtis Rd Ste 501
Boise, ID 83706-1343
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
19805 S La Grange Rd
Mokena, IL 60448-8348
Phone (708) 938-3378
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164006974 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1053809376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N CURTIS RD STE 501",
"city": "BOISE",
"state": "ID",
"postal_code": "837061343",
"telephone_number": "208-302-0600",
"fax_number": "208-302-0755"
}
],
"practiceLocations": [
{
"address_1": "19805 S La Grange Rd",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604488348",
"country_code": "US",
"telephone_number": "708-938-3378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASS",
"first_name": "VALERIE",
"name_prefix": "Miss",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164006974",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "4981813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.