| Idaho Nutrition Associates, Llc | |
|
1013 E Winding Creek Dr Ste 102, Eagle, ID 83616-7060 | |
| (208) 250-5657 | |
| Not Available |
| Full Name | Idaho Nutrition Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1013 E Winding Creek Dr Ste 102, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568992105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Teri L Ahrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235546656 PECOS PAC ID: 5294059788 Enrollment ID: I20150109000590 |
| Provider Name | Brenda L Bourn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477728178 PECOS PAC ID: 3274429238 Enrollment ID: I20160503001657 |
| Provider Name | Kelly Kathleen Otoole Wood |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790288124 PECOS PAC ID: 9335403062 Enrollment ID: I20180504002199 |
| Provider Name | Maryann H Cunningham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578024345 PECOS PAC ID: 4284061433 Enrollment ID: I20200227001413 |
| Provider Name | Medina E Blanchet |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851683056 PECOS PAC ID: 2961793179 Enrollment ID: I20200721001325 |
| Provider Name | Spring C Bean |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053640268 PECOS PAC ID: 1254723992 Enrollment ID: I20220110001121 |
| Provider Name | Sariah E Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518628643 PECOS PAC ID: 0941693998 Enrollment ID: I20220215002000 |
| Provider Name | Margaret R Capron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225761380 PECOS PAC ID: 3577948223 Enrollment ID: I20220915002010 |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Nutrition Associates, Llc 1013 E Winding Creek Dr Ste 102, Eagle, ID 83616-7060 Ph: (208) 250-5657 | Idaho Nutrition Associates, Llc 1013 E Winding Creek Dr Ste 102, Eagle, ID 83616-7060 Ph: (208) 250-5657 |
Balanced Bites Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862 Fax: 208-668-8871 | |
Mrs. Tracy Bento, RD, CDCES, CSOWM Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862 | |
Kirsten Ceily Thomas, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 110, Eagle, ID 83616 Phone: 208-274-9580 | |
Biyu Yang, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4727 W Maricopa Dr, Eagle, ID 83616 Phone: 949-698-8622 | |
Maryanne Hartman Cunningham, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 735 W Watersford Dr, Eagle, ID 83616 Phone: 208-867-1763 | |
Deena M Lajoie, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3797 N Croft Way, Eagle, ID 83616 Phone: 208-250-5657 |