Individual provider Active NPI

Deena M Lajoie, RD, LD

  • Registered Dietitian
  • Eagle, ID
National Provider Identifier
1588936710
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-682 Issued in ID
Practice address
3797 N Croft Way
Eagle, ID 83616-2265
Phone
(208) 250-5657
NPI assigned
Feb 3, 2012
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-682 ID Primary

Addresses

Primary practice location

3797 N Croft Way
Eagle, ID 83616-2265

Mailing address

3797 N Croft Way
Eagle, ID 83616-2265
Phone (208) 250-5657

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

LicenseStateTypeSpecialty
D-682IDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Impact Nutrition, LLC Dietitian, Registered CurrentSince Sep 24, 2014 Accepting new patients

Locations

1013 E Winding Creek Dr
Ste 102
Eagle, ID 83616
Phone (208) 250-5657

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1588936710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3797 N CROFT WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836162265",
            "telephone_number": "208-250-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3797 N CROFT WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836162265",
            "telephone_number": "208-250-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJOIE",
        "first_name": "DEENA",
        "middle_name": "M",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.