Jean R Halford

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

369684 Issued in IL

Practice address

2220 E 25TH St
Idaho Falls, ID 83404-7542

Phone

(208) 523-1122

Fax

(208) 523-2582

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669405932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047542",
            "telephone_number": "208-523-1122",
            "fax_number": "208-523-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047542",
            "telephone_number": "208-523-1122",
            "fax_number": "208-523-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFORD",
        "first_name": "JEAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "369684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  ME",
            "identifier": "P00103300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Haile
• Hailey a. Clark FNP-C LLC
• Chelsey Jo Hale, LMSW
• Marta Lucia Marie Hale, RT
• Zackary M Hale, AU.D
• Christina Lynn Hall, IS
• Clayton Reed Hall
• Craig Z. Hall, M.D.
• John Worley Hall, PHARMD
• Joseph Hall, D.C.

• Metabolic Nutrition Registered Dietitian in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Metabolic Nutrition Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.