Mary Ginnetti, LDN
Individual provider Active NPI Registered Dietitian · Meridian, ID
NPI 1154810109 · NPPES record last updated May 4, 2018
Key facts
- NPI
- 1154810109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D962 (ID)
- Practice address
- 1859 S Topaz Way Ste 100
Meridian, ID 83642-4401 - Phone
- (208) 209-2432
- NPI assigned
- May 4, 2018
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D962 | ID | Yes |
Addresses
Primary practice location
1859 S Topaz Way Ste 100
Meridian, ID 83642-4401
Mailing address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 737-8768
Other providers in Meridian, ID
- Jonathan V. Giles
- Kennedy Poplawski Gillespie
- Kalli Ann Gillihan
- Tyler Gilliland
- Ross Ginkel
- Emily Gire
- Haley Givvines
- GJC Enterprises, Inc
- Randall Francis Glenn
- Verlyn Glenn
All providers in Meridian, ID · Registered Dietitian in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2018. 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.