Serena Arave, RD, CNSC, LD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

D-414 Issued in ID

Practice address

267 E Old Saybrook Dr
Boise, ID 83706-4920

Phone

(208) 342-7198

NPI assigned

Apr 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1225423262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E OLD SAYBROOK DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064920",
            "telephone_number": "208-342-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E OLD SAYBROOK DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064920",
            "telephone_number": "208-342-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAVE",
        "first_name": "SERENA",
        "credential": "RD, CNSC, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "ID",
            "license": "D-414",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "ID",
            "license": "D-414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Arambula
• Jon P Aramburu, OTR
• Roy Arana Flores, DPT
• Hugo Cesar Araujo Lino
• Crystal N Arave, SLP
• Alexander C Archibald, OD
• R Burke Archibald, MD
• Ryan Henderson Archibald, DMD
• Vaun J Archibald, DO
• Cheryl Marie Archuleta, PAC

• Pediatric Nutrition Registered Dietitian in Boise, ID
• Providers in Boise, ID by specialty
• Pediatric Nutrition Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.