Organization Active NPI

Practical Pcos LLC

  • Registered Dietitian
  • Boise, ID
National Provider Identifier
1982565503
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Sariah Wilson, MS, RD, LDNPI 1518628643
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.