Carol Diane Atchison, RDLD, CSO, CDE, CNSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-278 Issued in 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

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1497997159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 W. 33RD SOUTH",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025682",
            "telephone_number": "208-313-1994",
            "fax_number": "208-552-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 W. 33RD SOUTH",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025682",
            "telephone_number": "208-313-1994",
            "fax_number": "208-552-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHISON",
        "first_name": "CAROL",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "RDLD, CSO, CDE, CNSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.