Emily Dawn Clay, RDN, LD
Individual provider Active NPI Registered Dietitian · Boise, ID
NPI 1659909935 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1659909935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D-915 (ID)
- Practice address
- 900 N Liberty St
Boise, ID 83704-8704 - Phone
- (208) 367-7190
- Fax
- (208) 367-4505
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-915 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boise State Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-915 | ID | Yes |
Addresses
Primary practice location
900 N Liberty St
Boise, ID 83704-8704
Mailing address
13407 N 5TH Ave
Boise, ID 83714-9470
Phone (404) 805-3227
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. 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.