Karen Diane Donaldson, M.S., R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-479 Issued in ID

Practice address

845 W Center St # 208
Pocatello, ID 83204-4205

Phone

(208) 406-1084

Fax

(208) 714-4649

NPI assigned

Jul 3, 2006

Last updated

Nov 7, 2018By the provider in NPPES

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

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Group, P.a.Group PAC ID 1658275391, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Family Practice Group, P.a.

  dba InterMountain Medical Clinic

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1205869310
  Medicare reassignment Care Compare group NPD
• Brandon a West, DO, PLLC

  dba West Family Medicine

  • Adolescent Medicine (Family Medicine) Physician
  • Pocatello, ID
  • NPI 1780808022
  Medicare reassignment NPD
• Life Change Associates, PC

  • Psychiatry Physician
  • Pocatello, ID
  • NPI 1598077562
  Medicare reassignment NPD
• Family Practice Group, P.a.

  dba Intermountain Medical Clinic

  • Cardiac Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1912723214
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1699705087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W CENTER ST # 208",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044205",
            "telephone_number": "208-406-8120",
            "fax_number": "208-174-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W CENTER ST # 208",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044205",
            "telephone_number": "208-406-1084",
            "fax_number": "208-714-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "KAREN",
        "middle_name": "DIANE",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807328700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Marie Dixon, PA
• Maella Kervela Djoube Fodop
• Dna With Tina LLC
• Dominee R Hall PLLC
• David R Donaldson, MD
• Karen Doncouse, CRNA
• David Doran
• Katherine N Dorsett, M.D.
• Kyrra Ellie Lynn Doshier
• Double H Trauma and Addiction Recovery Centers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.