Active NPI
Practical Pcos LLC
- Registered Dietitian
- Boise, ID
National Provider Identifier
1982565503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PRACTICAL PCOS LLC
- Practice address
- 6040 S Chinook Way
Boise, ID 83709-1378 - Phone
- (208) 353-6277
- Fax
- (208) 442-9351
- NPI assigned
- Nov 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sariah Wilson, MS, RD, LD
- Title
- Owner
- Phone
- (801) 857-0390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
6040 S Chinook Way
Boise, ID 83709-1378
Mailing address
9169 W State St # 706
Garden City, ID 83714-1733
Phone (208) 353-6277
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1982565503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9169 W STATE ST # 706",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837141733",
"telephone_number": "208-353-6277",
"fax_number": "208-442-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 S CHINOOK WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837091378",
"telephone_number": "208-353-6277",
"fax_number": "208-442-9351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRACTICAL PCOS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-21",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "SARIAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-857-0390",
"authorized_official_credential": "MS, RD, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.