Idaho Nutrition Associates, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

IDAHO NUTRITION ASSOCIATES, LLC

Practice address

1013 E Winding Creek Dr Ste 102
Eagle, ID 83616-7060

Phone

(208) 250-5657

NPI assigned

Jun 15, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deena Lajoie, RDNNPI 1588936710

Title

Owner

Phone

(208) 250-5657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Longo, RDN

  • Registered Dietitian
  • Boise, ID
  • NPI 1225761380

  Dietitian, Registered

  Medicare reassignment NPD
• Kelly Kathleen Otoole Wood, RDN, LDN

  • Registered Dietitian
  • Boise, ID
  • NPI 1790288124

  Dietitian, Registered

  Medicare reassignment NPD
• Diane Milward, R.D., C.D.E

  • Registered Dietitian
  • Martinez, CA
  • NPI 1043361207

  Dietitian, Registered, ID

  Medicare reassignment NPD
• Deena M Lajoie, RD, LD

  • Registered Dietitian
  • Eagle, ID
  • NPI 1588936710
  Authorized official Same address or phone
• Maryanne Hartman Cunningham, RDN

  • Registered Dietitian
  • Eagle, ID
  • NPI 1578024345

  Dietitian, Registered

  NPD
• Amber Marsh Woken, FNP

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1386354082
  NPD
• Vicky Jo Hill, RDN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Meridian, ID
  • NPI 1184246860
  NPD (past)
• Heather Dawn Liddell, RDN, LD

  • Registered Dietitian
  • Boise, ID
  • NPI 1477240935

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568992105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 E WINDING CREEK DR STE 102",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167060",
            "telephone_number": "208-250-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E WINDING CREEK DR STE 102",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167060",
            "telephone_number": "208-250-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO NUTRITION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAJOIE",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-250-5657",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Allergy L.L.C.
• Idaho Center for Regenerative Medicine
• Idaho Innovative Dentistry, PLLC (Premier Dentistry of Eagle)
• Idaho Massage LLC
• Idaho Massage LLC
• Idaho Pain Associates PLLC
• Idaho Pharmacy LLC
• Idaho Surgical Partners, PC
• Idealspine Health Center
• Faith Ihli

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.