IDAHO STATE UNIVERSITY NPI 1487245122

NPI Information

  • NPI: 1487245122
  • Provider Name: IDAHO STATE UNIVERSITY
  • Classification: Nutritionist - 133NN1002X
  • Specialization: Nutrition, Education
  • Entity Type: Organization
  • Address: 1311 E CENTRAL DR
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 373-1926

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NPI Details

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 License Number License State Primary
1133N00000XNutritionistNo
2133VN1005XDietitian, RegisteredNutrition, RenalNo
3133VN1006XDietitian, RegisteredNutrition, MetabolicNo
4133VN1101XDietitian, RegisteredNutrition, GerontologicalNo
5133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
6133VN1301XDietitian, RegisteredNutrition, OncologyNo
7133VN1501XDietitian, RegisteredNutrition, Sports DieteticsNo
8133NN1002XNutritionistNutrition, EducationYes

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: 11/21/2025

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