Brooke Louise Ames

Individual provider Active NPI Registered Dietitian · Meridian, ID

NPI 1457063315 · NPPES record last updated Mar 1, 2024

Key facts

NPI
1457063315
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
520 S Eagle Rd
Meridian, ID 83642-6351
Phone
(208) 706-5000
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Regional Medical Center Past
since Mar 3, 2024
Accepting new patients
St Lukes Clinic-Treasure Valley LLC Past
since Mar 3, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

520 S Eagle Rd
Meridian, ID 83642-6351

Mailing address

520 S Eagle Rd Ste 1223
Meridian, ID 83642-6355
Phone (208) 706-5260

Other providers in Meridian, ID

All providers in Meridian, ID · Registered Dietitian in Idaho

Sources for this page

Verify at the official NPI Registry.