Active NPI
Margaret Longo, RDN
- Registered Dietitian
- Boise, ID
National Provider Identifier
1225761380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-1168
- Practice address
- 10764 Wildrose CT
Boise, ID 83713-9505 - Phone
- (425) 205-1602
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-1168 | ID | Primary |
| Registered Dietitian | 133V00000X | LD-D-10220952 | OR | |
| Registered Dietitian | 133V00000X | DI-60695907 | WA |
Addresses
Primary practice location
10764 Wildrose CT
Boise, ID 83713-9505
Mailing address
10764 Wildrose CT
Boise, ID 83713-9505
Phone (425) 205-1602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-D-10220952 | OR | MD | Registered Dietitian |
| DI-60695907 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Nutrition Associates, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
13900 W Wainwright Dr
Ste 102
Boise, ID 83713
Phone (208) 433-9424
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1225761380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10764 WILDROSE CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837139505",
"telephone_number": "425-205-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10764 WILDROSE CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837139505",
"telephone_number": "425-205-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "MARGARET",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-1168",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10220952",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI-60695907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.