Carol Diane Atchison, RDLD, CSO, CDE, CNSD
Individual provider Active NPI Registered Dietitian · Idaho Falls, ID
NPI 1497997159 · NPPES record last updated Mar 27, 2009
Key facts
- NPI
- 1497997159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D-278 (ID)
- Practice address
- 5957 W. 33Rd South
Idaho Falls, ID 83402-5682 - Phone
- (208) 313-1994
- Fax
- (208) 552-3341
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-278 | ID | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-278 | ID | Yes |
Addresses
Primary practice location
5957 W. 33Rd South
Idaho Falls, ID 83402-5682
Mailing address
5957 W. 33Rd South
Idaho Falls, ID 83402-5682
Phone (208) 313-1994
Other providers in Idaho Falls, ID
- Associates for Family Independence
- Assurance Family Care LLC
- Assurelink
- Assurelink, LLC
- Flower D. Aston
- Atwood Family Dentistry
- Brodie Steven Atwood
- Shawn Cameron Atwood
- Jeffrey John Aughney
- Christopher Austin
All providers in Idaho Falls, 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 Mar 27, 2009. 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.