NPIMap

Organization Active NPI

Nutrition Specialists

  • Registered Dietitian
  • Meridian, ID
National Provider Identifier
1467680314
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D043 Issued in ID
Legal business name
NUTRITION SPECIALISTS
Practice address
2472 W Ladle Rapids St
Meridian, ID 83646-4771
Phone
(208) 343-3883
Fax
(208) 493-3087
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Jolyn Seibert, RDNPI 1891973244
Title
Owner/President
Phone
(208) 343-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X D043 ID Primary

Addresses

Primary practice location

2472 W Ladle Rapids St
Meridian, ID 83646-4771

Mailing address

2472 W Ladle Rapids St
Meridian, ID 83646-4771
Phone (208) 343-3883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1467680314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 W LADLE RAPIDS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464771",
            "telephone_number": "208-343-3883",
            "fax_number": "208-493-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 W LADLE RAPIDS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464771",
            "telephone_number": "208-343-3883",
            "fax_number": "208-493-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "SEIBERT",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-343-3883",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D043",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.