Active NPI
Amber Bulcher, RDN, LD
- Registered Dietitian
- Meridian, ID
National Provider Identifier
1306475314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-772
- Practice address
- 2867 E Copper Point Dr
Meridian, ID 83642-1716 - Phone
- (208) 401-9100
- NPI assigned
- Apr 2, 2020
- Last updated
- Apr 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-772 | ID | Primary |
Addresses
Primary practice location
2867 E Copper Point Dr
Meridian, ID 83642-1716
Mailing address
1010 S Phillippi St
Boise, ID 83705-1947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86006692 | Other | COMMISSION OF DIETETIC REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-772 | ID | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1306475314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S PHILLIPPI ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837051947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2867 E COPPER POINT DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421716",
"telephone_number": "208-401-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULCHER",
"first_name": "AMBER",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION OF DIETETIC REGISTRATION",
"identifier": "86006692",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.