JENNIFER BEAZER


Address: 100 E Idaho St Ste 200, Boise, ID 83712-6270
Phone: 2083817081

JENNIFER BEAZER (NPI# 1053733428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053733428
Entity Type Individual
Full Name JENNIFER BEAZER
Credential RD, CSP, LD
Practice Address 100 E Idaho St Ste 200
Boise
ID 83712-6270
Practice Telephone 2083817081
Practice Fax Number 2083817071
Mailing Telephone 2083817081
Mailing Fax Number 2083817071
Enumeration Date 2014-01-20
Last Update Date 2014-01-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
D470 ID Dietary & Nutritional Service Providers

Office Location

Street Address 100 E IDAHO ST STE 200
City BOISE
State ID
Zip Code 83712-6270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023201084 St Lukes Regional Medical Center Clinic/Center 100 E Idaho St Ste 200, Boise, ID 83712-6270 2007-08-23
1750940870 Laura Elizabeth Marx Genetic Counselor, MS 100 E Idaho St Ste 200, Boise, ID 83712-6270 2019-06-12
1104391424 Kimberly Jo Schmidt Dietitian, Registered 100 E Idaho St Ste 200, Boise, ID 83712-6270 2018-10-13
1669954129 Rachel Cleona Hernandez Dietitian, Registered 100 E Idaho St Ste 200, Boise, ID 83712-6270 2018-08-31
1699166306 Danielle Nebeker Dietitian, Registered 100 E Idaho St Ste 200, Boise, ID 83712-6270 2015-02-17
1659665545 Laura Margaret Boquette Dietitian, Registered 100 E Idaho St Ste 200, Boise, ID 83712-6270 2011-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477016012 Veranda At Barber Station LLC Assisted Living Facility 3266 E. Barber Valley Drive, Boise, ID 83712 2019-04-10
1891258612 Mary Elizabeth Riedel Occupational Therapist 190 E Bancock St., Boise, ID 83712 2019-04-09
1427523968 Q17 Health Partners LLC Surgery 100 East Idaho Street #317, Boise, ID 83712 2018-10-11
1053898247 Travis Dale Worwood Social Worker South Entrance, 1075 E. Park Blvd, Boise, ID 83712 2018-07-20
1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
1740706894 Meghan Heitstuman Social Worker 190 E Bannock Street, Boise, ID 83712 2017-08-21
1942759725 Kay Craig Physical Therapist 190 Bannock, Boise, ID 83712 2016-09-22
1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
1033576491 Heather Hussey Genetic Counselor, MS 100 E Idaho Street, Msti Genetics, Boise, ID 83712 2016-01-15
1295139137 Amie Bartholomeus Massage Therapist 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 2014-10-21
Find all providers in zip 83712

Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558664755 Marjorie Conrad Rich Dietitian, Registered 707 N Armstrong Pl, Boise, ID 83704-0825 2010-12-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275552978 Barbara J Moulton Dietitian, Registered 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-07-19
1669405932 Jean R Halford Dietitian, Registered 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-07-09
1013940386 Rebecca T Sulik Dietitian, Registered 2220 E 25th St, Idaho Falls, ID 83404-7542 2006-07-09

Competitor

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City BOISE
Zip Code 83712

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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