Julie Harker Buck, MHE, RD, CD, LCCE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-195 Issued in ID

Practice address

310 N 7TH E
Saint Anthony, ID 83445-1645

Phone

(208) 313-0331

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2008.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1154579654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 7TH E",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834451645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 7TH E",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834451645",
            "telephone_number": "208-313-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "JULIE",
        "middle_name": "HARKER",
        "credential": "MHE, RD, CD, LCCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Anthony, ID
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.

Verify at the official NPI Registry.