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MRS. MAXINE MYRA SCHROEDER RD LD CDE NPI 1568651461


NPI Profile

NPI: 1568651461
Provider Name: MRS. MAXINE MYRA SCHROEDER, RD, LD, CDE
Classification:Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
388 MARTIN ST
TWIN FALLS, ID
ZIP 83301
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Phone: (208) 734-0451

MRS. Maxine Myra Schroeder, RD, LD, CDE is a dietitian registered in Twin 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. MRS. Maxine Myra Schroeder, RD, LD, CDE NPI is 1568651461. 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:

388 MARTIN ST
TWIN FALLS, ID
ZIP 83301-544
Phone: (208) 734-0451
Fax: (208) 734-0452

The enumeration date for this NPI number is 10/17/2007 and was last updated on 2/28/2008.


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
1133V00000XDietitian, RegisteredD-219IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P59860MEDICARE UPINIDAHO
21940125MEDICARE PINIDAHO

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: 6/14/2021

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