Nutrition Dejunked LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION DEJUNKED LLC

Practice address

3350 W Americana Ter Ste 215
Boise, ID 83706-2545

Phone

(208) 629-2441

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Kathryn Callahan, MS, RDN, LDNPI 1356992937

Title

Dietitian

Phone

(208) 629-2441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Kathryn Willis Callahan, MS, RDN, LD

  • Registered Dietitian
  • Boise, ID
  • NPI 1356992937
  Medicare reassignment Authorized official
• Myah Merino, RDN

  • Registered Dietitian
  • Boise, ID
  • NPI 1972344570

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1437779469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER STE 215",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062545",
            "telephone_number": "208-629-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER STE 215",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062545",
            "telephone_number": "208-629-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION DEJUNKED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "208-629-2441",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Numedahl, LMSW
• Nunez Wellness Counseling
• Reynaldo Nunez
• Yanet Nunez, LCPC, NCC
• Margaret Lee Nunley, M.D.
• Nutritional Medicine of Idaho
• Rachel Elizabeth Nutting, P.A.-C
• Rebecca Rice Nutting
• Kylie Linn Nuxoll, FNP-C
• Nina Ezinne Nwoko, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.