| Karen Diane Donaldson, MS, RD, LD | |
|
845 W Center St # 208, Pocatello, ID 83204-4205 | |
| (208) 406-1084 | |
| (208) 714-4649 |
| Full Name | Karen Diane Donaldson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 845 W Center St # 208, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699705087 | NPI | - | NPPES |
| 807328700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-479 (Idaho) | Primary |
| Provider Name | Family Practice Group, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205869310 PECOS PAC ID: 1658275391 Enrollment ID: O20031124000431 |
| Provider Name | Life Change Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598077562 PECOS PAC ID: 8224265574 Enrollment ID: O20131212001598 |
| Provider Name | Brandon A West Do Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780808022 PECOS PAC ID: 1153644075 Enrollment ID: O20141230001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Diane Donaldson, MS, RD, LD 845 W Center St # 208, Pocatello, ID 83204-4205 Ph: (208) 406-8120 | Karen Diane Donaldson, MS, RD, LD 845 W Center St # 208, Pocatello, ID 83204-4205 Ph: (208) 406-1084 |
Mrs. Courtney Meyers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Hospital Way Bldg D, Pocatello, ID 83201 Phone: 208-239-2070 | |
L. Elaine Niebaur, RD,CSR, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1522 Sod Farm Rd, Pocatello, ID 83204 Phone: 208-637-1094 Fax: 208-637-0750 | |
Abby Jan Wilson, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Hospital Way Bldg D, Pocatello, ID 83201 Phone: 208-239-2070 | |
Tiffany Topliff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1684 Glacier St, Pocatello, ID 83201 Phone: 208-406-3557 | |
Mrs. Jessica Badaracco Griffel, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 990 Cesar Chavez Ave, Pocatello, ID 83209 Phone: 208-282-2330 | |
Mrs. Joanna Kelley Davidson, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Building A, Suite 201, Pocatello, ID 83201 Phone: 208-239-2737 Fax: 208-239-3778 | |
Sara Elizabeth Poulsen, RDN, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 147 Stanford Ave, Pocatello, ID 83201 Phone: 208-424-0179 |