Active NPI
Diane E. Tobin, MNT
- Registered Dietitian
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 8971178
- Practice address
- 1510 12TH Ave Rd Ste 200
Nampa, ID 83686-6946 - Phone
- (208) 302-0600
- NPI assigned
- Feb 20, 2007
- 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 | 796 | NE | |
| Registered Dietitian | 133V00000X | 8971178 | ID | Primary |
Addresses
Primary practice location
1510 12TH Ave Rd Ste 200
Nampa, ID 83686-6946
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
100 Indian Hills Dr
Macy, NE 68039-3023
Phone (402) 837-5381
Other practice location 2
601 west leota st
great plains regional medical center
north platte, NE 69101
Phone (308) 696-7523
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 12TH Ave Rd
Suite 200
Nampa, ID 83686-6008
Phone (208) 302-6899
1512 12TH Ave Rd
Suite 100
Nampa, ID 83686-6008
Phone (208) 467-1171
3025 W Cherry LN
Meridian, ID 83642-8531
901 N Curtis Rd
Boise, ID 83706-1343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8971178 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients |
Locations
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
1510 12th Ave Rd
Ste 200
Nampa, ID 83686
Phone (208) 302-0600
Interoperability endpoints
- diane.tobin.p1@direct.capwn.nextgenshare.com
Organizations & group practices 3
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1295879377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 12TH AVE RD STE 200",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866946",
"telephone_number": "208-302-0600"
}
],
"practiceLocations": [
{
"address_1": "100 Indian Hills Dr",
"address_purpose": "LOCATION",
"city": "Macy",
"state": "NE",
"postal_code": "680393023",
"country_code": "US",
"telephone_number": "402-837-5381",
"fax_number": "402-837-5303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 west leota st",
"address_2": "great plains regional medical center",
"address_purpose": "LOCATION",
"city": "north platte",
"state": "NE",
"postal_code": "69101",
"country_code": "US",
"telephone_number": "308-696-7523",
"fax_number": "308-696-8681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOBIN",
"first_name": "DIANE",
"middle_name": "E.",
"credential": "MNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "796",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "8971178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.