| Jennifer Lisa Anthony, RD | |
|
777 N Raymond St, Boise, ID 83704-9251 | |
| (208) 514-2500 | |
| Not Available |
| Full Name | Jennifer Lisa Anthony |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
| Location | 777 N Raymond St, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760156152 | NPI | - | NPPES |
| 1760156152 | Medicaid | ID |
| Provider Name | Full Circle Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lisa Anthony, RD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500 | Jennifer Lisa Anthony, RD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500 |
St Lukes Regional Medical Center Dietitian Medicare: Medicare Enrolled Practice Location: 1226 W River St, Boise, ID 83702 Phone: 208-331-1155 | |
Natalie Dawn Echanis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 S Broadway Ave Ste 505, Boise, ID 83706 Phone: 208-780-6254 | |
Rachael Tatko, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13900 W Wainwright Dr, Boise, ID 83713 Phone: 208-433-9424 | |
Ariana Lawrence, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-7081 Fax: 208-381-6009 | |
Daria T Pori, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1141 | |
Ms. Megan Marie Mcguffey, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 University Dr, Boise, ID 83725 Phone: 208-426-1459 | |
Rhonda L O'brien, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-342-2228 Fax: 208-343-0889 |