SANDY KIPP RDN LLC (NPI# 1164030755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164030755 |
| Entity Type | Organization |
| Organization Name | SANDY KIPP RDN LLC |
| Practice Address |
232 2nd St S Nampa ID 83651-3709 |
| Mailing Address |
823 W Mountain Ash Loop Nampa ID 83686-2681 |
| Practice Telephone | 2082500836 |
| Practice Fax Number | 8889726280 |
| Mailing Telephone | 2082500836 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | SANDRA KIPP (MEMBER) |
| Authorized Official Telephone | 2082500836 |
| Authorized Official Credential | RDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Nourish Your Life | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 823 W Mountain Ash Loop, Nampa, ID 836862681 | 2082500836 |
| Street Address |
232 2ND ST S |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376823740 | Personal Development | Community/Behavioral Health | 232 2nd St S, Nampa, ID 83651-3709 | 2011-08-17 |
| 1710477310 | Functional Medicine Center of Boise LLC | Clinic/Center | 232 2nd St S, Nampa, ID 83651 | 2018-05-18 |
| 1568844975 | Spencer Zimmerman | Chiropractor | 232 2nd St S, Nampa, ID 83651 | 2015-06-22 |
| 1679978423 | Robert Newman | Counselor | 232 2nd St S, Nampa, ID 83651-3709 | 2014-10-22 |
| 1760881296 | Melissa Wells | Counselor | 232 2nd St S, Nampa, ID 83651-3709 | 2014-08-20 |
| 1740603174 | Karl Baumgartner | Social Worker | 232 2nd St S, Nampa, ID 83651-3709 | 2014-01-21 |
| 1457605024 | John Owen Roice | Counselor | 232 2nd St S, Nampa, ID 83651-3709 | 2012-11-05 |
| 1437429222 | Jacqueline Taylor | Social Worker | 232 2nd St S, Nampa, ID 83651-3709 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295145654 | Sandra Kipp | Dietitian, Registered | 823 W Mountain Ash Loop, Nampa, ID 83686-2681 | 2014-05-06 |
| 1952694085 | Marlee Harris | Dietitian, Registered | 307 Winther Blvd, Nampa, ID 83651-2029 | 2011-05-23 |
| 1952462632 | April D Storms | Dietitian, Registered | 211 W Iowa, Nampa, ID 83686-2834 | 2006-12-13 |
| 1720542269 | Rachel L Krick | Dietitian, Registered | 207 1st St S, Nampa, ID 83651-3703 | 2019-01-29 |
| 1285128389 | Garnette Morgan Walker | Dietitian, Registered | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2018-06-21 |
| 1518470863 | Emily Rachael Spurlock | Dietitian, Registered | 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2017-11-08 |
| 1043401847 | Sia Argeanas | Dietitian, Registered | 824 S Diamond St, Nampa, ID 83686-5960 | 2007-08-06 |
| 1578624557 | Kathy Lynn Hohenbrink | Dietitian, Registered | 1512 12th Avenue Road, Nampa, ID 83686 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272965 | Katelyn Diane John | Dietitian, Registered | 967 N Clithero Dr, Boise, ID 83703-5703 | 2020-10-09 |
| 1942816871 | Vanessa Yvonne Engle | Dietitian, Registered | 1095 S Stateline Rd, Driggs, ID 83422-4727 | 2020-09-16 |
| 1992310148 | Ellie Rock | Dietitian, Registered | 5424 N Sun Shimmer Ave, Meridian, ID 83646-5536 | 2020-09-14 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1639781743 | Anna Speegle | Dietitian, Registered | 427 Meadowview Ln, Twin Falls, ID 83301-6883 | 2020-08-19 |
| 1477179646 | Kayla Lynne Johnson | Dietitian, Registered | 570 Cobra Ct, Twin Falls, ID 83301-5694 | 2020-06-23 |
| 1245855113 | Megan Jensen | Dietitian, Registered | 6929 W Trail Dr, Boise, ID 83704-4568 | 2020-06-16 |
| 1063035004 | Chrisann M Hinson | Dietitian, Registered | 4716 W Quaker Ridge Dr, Meridian, ID 83646-5042 | 2020-05-26 |
| 1609497551 | Aaron Robert Calvano | Dietitian, Registered | 5350 N Moose Creek Ave, Meridian, ID 83646-3639 | 2020-05-01 |
| 1437779469 | Nutrition Dejunked LLC | Dietitian, Registered | 3350 W Americana Ter Ste 215, Boise, ID 83706-2545 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SANDY KIPP RDN LLC.
| 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.