Lynda J Anderson-Fisk, DIETICIAN
Individual provider Active NPI Registered Dietitian · Coeur D Alene, ID
NPI 1477547578 · NPPES record last updated Feb 23, 2010
Key facts
- NPI
- 1477547578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D116 (ID)
- Practice address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051 - Phone
- (208) 666-2000
- Fax
- (208) 666-3963
- NPI assigned
- Sep 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D116 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D116 | ID | Yes |
Addresses
Primary practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 666-2000
Other providers in Coeur D Alene, ID
- Breanna Ammari
- Lindsey Marie Anagnostopoulos
- Pamela Anain
- Anchored Family Practice, PLLC
- Ancient Paths Birth @ Wellness, LLC
- Boram Choi Anderson
- Chad Deloy Anderson
- Duane Ray Anderson
- Erin Anderson
- James N Anderson
All providers in Coeur D Alene, ID · Registered Dietitian in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.