IDAHO STATE UNIVERSITY NPI 1487245122

NPI Information

NPI: 1487245122
Provider Name: IDAHO STATE UNIVERSITY
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
1311 E CENTRAL DR
MERIDIAN, ID
ZIP 83642
Phone: (208) 373-1926
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IDAHO STATE UNIVERSITY is a nutrition and education nutritionist in Meridian, ID. IDAHO STATE UNIVERSITY NPI is 1487245122. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1311 E CENTRAL DR
MERIDIAN, ID
ZIP 83642-991
Phone: (208) 373-1926
Fax: (833) 499-1813

The provider's authorized official is Cynthia Lee Rock .
The authorized official title is Clinics Director Of Operations and has the following contact phone number (208) 373-1743.

The enumeration date for this NPI number is 1/26/2021 and was last updated on 1/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	133N00000X	Nutritionist		No
2	133VN1005X	Dietitian, Registered	Nutrition, Renal	No
3	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	No
4	133VN1101X	Dietitian, Registered	Nutrition, Gerontological	No
5	133VN1201X	Dietitian, Registered	Nutrition, Obesity and Weight Management	No
6	133VN1301X	Dietitian, Registered	Nutrition, Oncology	No
7	133VN1501X	Dietitian, Registered	Nutrition, Sports Dietetics	No
8	133NN1002X	Nutritionist	Nutrition, Education	Yes

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: 4/28/2024

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