Emily Cook, RD,LD
Individual provider Active NPI Registered Dietitian · Bosie, ID
NPI 1508359084 · NPPES record last updated Jun 13, 2018
Key facts
- NPI
- 1508359084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D-504 (ID)
- Practice address
- St. Luke'S Rehab Hospital
600 N Robbins Road
Bosie, ID 83702 - Phone
- (208) 385-3237
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
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-504 | ID | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-504 | ID | Yes |
Addresses
Primary practice location
St. Luke'S Rehab Hospital
600 N Robbins Road
Bosie, ID 83702
Mailing address
St. Luke'S Rehab Hospital
600 N Robbins Rd
Boise, ID 83702-4565
Other providers in Bosie, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2018. 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.