Sandra Kipp, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-789 Issued in ID

Practice address

1105 2ND St S
Nampa, ID 83651-3911

Phone

(208) 250-0836

Fax

(888) 972-6280

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sandy Kipp RDN LLC

  • Registered Dietitian
  • Nampa, ID
  • NPI 1164030755

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1295145654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W MOUNTAIN ASH LOOP",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862681",
            "telephone_number": "208-250-0836",
            "fax_number": "888-972-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513911",
            "telephone_number": "208-250-0836",
            "fax_number": "888-972-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPP",
        "first_name": "SANDRA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King'S Peak Investments, Inc.
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• Deanna C Kinsman, PT
• Amanda Kint
• Holly May Kinzer, PT, DPT
• Hanna Kirsten
• Gregory Amanda Kittell
• Darren J Klassen, PA-C
• Tianna Lynn Klay
• Elaina Klemme

• Registered Dietitian in Nampa, ID
• Providers in Nampa, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.

Verify at the official NPI Registry.