| Sara Tikker Freeman, RDN, LD, CNSC | |
|
520 S Eagle Rd, Meridian, ID 83642-6351 | |
| (208) 706-1462 | |
| (208) 706-4107 |
| Full Name | Sara Tikker Freeman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 520 S Eagle Rd, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508350943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-993 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Tikker Freeman, RDN, LD, CNSC 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Sara Tikker Freeman, RDN, LD, CNSC 520 S Eagle Rd, Meridian, ID 83642-6351 Ph: (208) 706-1462 |
Taylor Golay, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3041 E Copper Point Dr, Meridian, ID 83642 Phone: 208-381-1593 | |
Eileen Myers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 965 W Eider Dr, Meridian, ID 83642 Phone: 208-258-9782 | |
Chrisann M Hinson, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4716 W Quaker Ridge Dr, Meridian, ID 83646 Phone: 805-345-0894 | |
Caylee Ketchum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1098 E Winslow St, Meridian, ID 83642 Phone: 208-860-3451 | |
R2ms Wellness Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5410 S Ashcroft Way, Meridian, ID 83642 Phone: 208-505-8725 Fax: 208-567-0892 | |
Jobeth Deanna Kuchar, MS, RD, CSP, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1465 Deer Crest Street, Building P 101, Meridian, ID 83646 Phone: 402-310-3662 | |
Mrs. Cierra Nicole Neiwert, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1859 S Topaz Way Ste 100, Meridian, ID 83642 Phone: 208-209-2432 Fax: 848-859-5885 |