Mary Skoglund, RDN, LD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

753 Brent Dr
Moscow, ID 83843-8519

Phone

(208) 503-3832

NPI assigned

Apr 2, 2025

Last updated

Apr 2, 2025By 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

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1538963145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 BRENT DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438519",
            "telephone_number": "208-503-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 BRENT DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438519",
            "telephone_number": "208-503-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOGLUND",
        "first_name": "MARY",
        "credential": "RDN, LD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ophath Silaphath
• Claire Jennifer Simon, PT
• Susan L. Simonds, PH.D.
• Harnek Singh, MD
• Breanna Sipley, LMSW
• Molly Elizabeth Slovnik, LMSW
• Wayne Leroy Smiley, RPH
• Heather Ann Smith
• Kelsey Faith Smith
• Mashonda Smith, M.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.