Active NPI
Kayla Hartson, RD
- Registered Dietitian
- Boise, ID
National Provider Identifier
1235972233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4671648
- Practice address
- 100 E Idaho St
Boise, ID 83712-6267 - Phone
- (208) 381-2711
- Fax
- (208) 381-4025
- NPI assigned
- Jun 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4671648 | ID | Primary |
| Registered Dietitian | 133V00000X | 86346949 | AZ |
Addresses
Primary practice location
100 E Idaho St
Boise, ID 83712-6267
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398
Phone (623) 748-7228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Boise, ID 83701
PO Box
Suite 640
Boise, ID 83701-0640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4671648 | ID | MD | Registered Dietitian |
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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1235972233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E IDAHO ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126267",
"telephone_number": "208-381-2711",
"fax_number": "208-381-4025"
}
],
"practiceLocations": [
{
"address_1": "18001 N 79th Ave Ste A12",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088398",
"country_code": "US",
"telephone_number": "623-748-7228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTSON",
"first_name": "KAYLA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "4671648",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86346949",
"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 Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.