Active NPI
Emily Clare McMullin, RD
- Registered Dietitian
- Idaho Falls, ID
National Provider Identifier
1457855538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3318 Blaze Dr
Idaho Falls, ID 83401-6458 - Phone
- (585) 746-3893
- NPI assigned
- Mar 22, 2018
- Last updated
- Mar 22, 2018
- 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 | NU | Primary |
Addresses
Primary practice location
3318 Blaze Dr
Idaho Falls, ID 83401-6458
Mailing address
3318 Blaze Dr
Idaho Falls, ID 83401-6458
Phone (585) 746-3893
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1457855538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3318 BLAZE DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016458",
"telephone_number": "585-746-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3318 BLAZE DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016458",
"telephone_number": "585-746-3893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLIN",
"first_name": "EMILY",
"middle_name": "CLARE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.