Active NPI
Sariah E Wilson, RD
- Registered Dietitian
- Boise, ID
National Provider Identifier
1518628643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-1296
- Practice address
- 6040 S Chinook Way
Boise, ID 83709-1378 - Phone
- (801) 857-0390
- NPI assigned
- Dec 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-1296 | ID | Primary |
Addresses
Primary practice location
6040 S Chinook Way
Boise, ID 83709-1378
Mailing address
6040 S Chinook Way
Boise, ID 83709-1378
Phone (801) 857-0390
Other practice location 1
13900 W Wainwright Dr Ste 103
Boise, ID 83713-5028
Phone (801) 857-0390
Other practice location 2
6040 S Chinook Way
Boise, ID 83709-1378
Phone (801) 857-0390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-1296 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practical Pcos LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1518628643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 S CHINOOK WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837091378",
"telephone_number": "801-857-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 S CHINOOK WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837091378",
"telephone_number": "801-857-0390"
}
],
"practiceLocations": [
{
"address_1": "13900 W Wainwright Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837135028",
"country_code": "US",
"telephone_number": "801-857-0390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6040 S Chinook Way",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837091378",
"country_code": "US",
"telephone_number": "801-857-0390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "SARIAH",
"middle_name": "E",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-30",
"last_updated": "2025-04-17",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-1296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.