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NORTHWEST NUTRITION CONSULTING NPI 1114656907


NPI Information

NPI: 1114656907
Provider Name: NORTHWEST NUTRITION CONSULTING
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Organization

Specialization: Nutrition, Pediatric

Address:
206 W IRONWOOD DR # 1005
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 719-2921
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NORTHWEST NUTRITION CONSULTING is a nutrition and pediatric dietitian registered in Coeur D Alene, ID. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. NORTHWEST NUTRITION CONSULTING NPI is 1114656907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

206 W IRONWOOD DR # 1005
COEUR D ALENE, ID
ZIP 83814-640
Phone: (208) 719-2921

The provider's authorized official is Rebekah Tague .
The authorized official title is Owner and has the following contact phone number (208) 719-2021.

The enumeration date for this NPI number is 6/7/2022 and was last updated on 6/7/2022.


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
1133VN1004XDietitian, RegisteredNutrition, PediatricYes

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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