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KATIE JO LEASK RD LD IBCLC NPI 1235780990


NPI Information

NPI: 1235780990
Provider Name: KATIE JO LEASK, RD, LD, IBCLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
2375 CORONADO ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 522-4600
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Katie Jo Leask, RD, LD, IBCLC is a dietitian registered in Idaho Falls, ID. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Katie Jo Leask, RD, LD, IBCLC NPI is 1235780990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2375 CORONADO ST
IDAHO FALLS, ID
ZIP 83404-407
Phone: (208) 522-4600

The enumeration date for this NPI number is 9/24/2019 and was last updated on 9/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174N00000XLactation Consultant, Non-RNL-62086IDAHONo
2133V00000XDietitian, RegisteredD-655IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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