Heidi Marquart, RD
Individual provider Active NPI Registered Dietitian · Driggs, ID
NPI 1104538511 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1104538511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D-1291 (ID)
- Practice address
- 120 E Howard St
Driggs, ID 83422-5112 - Phone
- (083) 546-3172
- Fax
- (208) 354-6318
- NPI assigned
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-1291 | ID | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-1291 | ID | Yes |
Addresses
Primary practice location
120 E Howard St
Driggs, ID 83422-5112
Mailing address
120 E Howard St
Driggs, ID 83422-5112
Phone (707) 330-4117
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.