Active NPI
Jolyn M Seibert, R.D.
- Registered Dietitian
- Meridian, ID
National Provider Identifier
1891973244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D043
- Practice address
- 2472 W. Ladle Rapids Street
Meridian, ID 83646-4771 - Phone
- (208) 343-3883
- Fax
- (208) 493-3087
- NPI assigned
- Feb 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D043 | ID | Primary |
Addresses
Primary practice location
2472 W. Ladle Rapids Street
Meridian, ID 83646-4771
Mailing address
2472 W Ladle Rapids St
Meridian, ID 83646-4771
Phone (208) 343-3883
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
| License | State | Type | Specialty |
|---|---|---|---|
| D043 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Specialists | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1891973244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 W LADLE RAPIDS ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836464771",
"telephone_number": "208-343-3883",
"fax_number": "208-493-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2472 W. LADLE RAPIDS STREET",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836464771",
"telephone_number": "208-343-3883",
"fax_number": "208-493-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIBERT",
"first_name": "JOLYN",
"middle_name": "M",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.