Summit Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SUMMIT NUTRITION, LLC

Practice address

1733 N Minam Loop
Post Falls, ID 83854-1601

Phone

(208) 691-3488

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Echo Heiman, RD, CSR, LD, CDNPI 1659816833

Title

Owner

Phone

(208) 425-1882

Specialties & licenses 2

Addresses

Other names 1

• Summit Nutrition, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Echo Heiman, RD

  • Renal Nutrition Registered Dietitian
  • Post Falls, ID
  • NPI 1659816833

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1245062447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 N MINAM LOOP",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838541601",
            "telephone_number": "208-425-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 N MINAM LOOP",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838541601",
            "telephone_number": "208-691-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "HEIMAN",
        "authorized_official_first_name": "ECHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-425-1882",
        "authorized_official_credential": "RD, CSR, LD, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Nutrition, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Juli Stratton
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• Christine Thibodeaux Sullivan, FNP
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• Summit Eye Care LLC
• Superstars Occupational Therapy for Kids
• Superstars Occupational Therapy for Kids, PLLC
• Surgical Bariatrics Northwest, Inc. P.a.
• Amy Sutherland
• John David Swanson IV, MD

• Registered Dietitian in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.