Active NPI
Northwest Nutrition Consulting
- Pediatric Nutrition Registered Dietitian
- Coeur D Alene, ID
National Provider Identifier
1114656907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- Legal business name
- NORTHWEST NUTRITION CONSULTING
- Practice address
- 206 W Ironwood Dr # 1005
Coeur D Alene, ID 83814-2640 - Phone
- (208) 719-2921
- NPI assigned
- Jun 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Tague
- Title
- Owner
- Phone
- (208) 906-2208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Primary |
Addresses
Primary practice location
206 W Ironwood Dr # 1005
Coeur D Alene, ID 83814-2640
Mailing address
206 W Ironwood Dr Ste 1005
Coeur D Alene, ID 83814-2640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npi22@proton.me |
National Provider Directory
National Provider DirectoryLocations
8385 N Government Way
Hayden, ID 83835
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Torrance, CA
- NPI 1891072351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1114656907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W IRONWOOD DR STE 1005",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W IRONWOOD DR # 1005",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142640",
"telephone_number": "208-719-2921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST NUTRITION CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-07",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "TAGUE",
"authorized_official_first_name": "REBEKAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-906-2208"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npi22@proton.me",
"affiliation": "N",
"address_1": "206 W Ironwood Dr # 1005",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838142640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.