| Deannea Tanner, RD | |
|
9850 W St Lukes Dr, Nampa, ID 83687-7912 | |
| (208) 706-7050 | |
| (208) 706-7059 |
| Full Name | Deannea Tanner |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 9850 W St Lukes Dr, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952795528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D1302 (Idaho) | Primary |
| Provider Name | St Lukes Clinic-treasure Valley LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Provider Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
| Provider Name | Saint Alphonsus Medical Center Baker City Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1386636355 PECOS PAC ID: 4981732518 Enrollment ID: O20210917000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Deannea Tanner, RD 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Deannea Tanner, RD 9850 W St Lukes Dr, Nampa, ID 83687-7912 Ph: (208) 706-7050 |
Mr. Sia Argeanas, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 824 S Diamond St, Nampa, ID 83686 Phone: 208-514-2103 Fax: 208-465-8437 |
'in Care Of' Nourish Your Life Dietitian Medicare: Medicare Enrolled Practice Location: 1105 2nd St. S., Nampa, ID 83651 Phone: 208-250-0836 Fax: 888-972-6280 |
Teresa Chinn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1127 Caldwell Blvd, Nampa, ID 83651 Phone: 208-465-4935 |
Elizabeth Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359 |
Cynthia Stephanie Alvarez, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 |
Mrs. Barbara Kay Herbel, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9951 W St Lukes Dr, Nampa, ID 83687 Phone: 208-467-6700 Fax: 208-463-6044 |
Garnette Morgan Walker, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9850 St Lukes Dr, Nampa, ID 83687 Phone: 208-205-7179 |