Nichole Ruth Cortez, RDN | |
13622 Bascom St, Caldwell, ID 83607-9034 | |
(208) 266-9970 | |
Not Available |
Full Name | Nichole Ruth Cortez |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Pediatric |
Location | 13622 Bascom St, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235727975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D-1214 (* (Not Available)) | Secondary |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Primary |
Provider Name | St Lukes Clinic-treasure Valley Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Nichole Ruth Cortez, RDN 1000 Monterey Way Apt A3, Lawrence, KS 66049-4621 Ph: (224) 717-4388 | Nichole Ruth Cortez, RDN 13622 Bascom St, Caldwell, ID 83607-9034 Ph: (208) 266-9970 |
Mrs. Mary Schwartz, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13307 Miami Ln, Caldwell, ID 83607 Phone: 208-455-5336 Fax: 208-455-5443 | |
Kassidy Rae Scheer, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13307 Miami Ln, Caldwell, ID 83607 Phone: 208-455-5300 | |
Ms. Marisa Erickson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13307 Miami Ln, Caldwell, ID 83607 Phone: 208-455-5335 Fax: 208-455-5443 | |
Mrs. Emily Jane Geary, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13307 Miami Ln, Caldwell, ID 83607 Phone: 208-455-5333 Fax: 208-454-7722 | |
Gem Infant Nutriiton, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13622 Bascom St, Caldwell, ID 83607 Phone: 224-717-4388 | |
Ms. Shantel Leigh Schirado, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-455-3803 Fax: 208-455-3885 |