Organization Active NPI

Northwest Nutrition Consulting

  • Pediatric Nutrition Registered Dietitian
  • Coeur D Alene, ID
National Provider Identifier
1114656907
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
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

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebekah TagueNPI 1891072351
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)CodeLicenseStatePrimary
Pediatric Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address npi22@proton.me

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.