MARIANNE PAMELA GREEN (NPI# 1619582426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619582426 |
| Entity Type | Individual |
| Full Name | MARIANNE PAMELA GREEN |
| Credential | RD |
| Practice Address |
3858 N Garden Center Way Ste 100 Boise ID 83703-5008 |
| Mailing Address |
745 S Progress Ave Ste 130&140 Meridian ID 83642-5605 |
| Practice Telephone | 2083857711 |
| Mailing Telephone | 2083857711 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86290180 | ID | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700814332 | Marianne Green | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-06-30 |
| Street Address |
3858 N GARDEN CENTER WAY STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83703-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336656040 | Functional Medicine of Idaho PC | Family Medicine | 3858 N Garden Center Way Ste 100, Boise, ID 83703-5008 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| 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 |
|---|---|---|---|---|
| 1689272965 | Katelyn Diane John | Dietitian, Registered | 967 N Clithero Dr, Boise, ID 83703-5703 | 2020-10-09 |
| 1245855113 | Megan Jensen | Dietitian, Registered | 6929 W Trail Dr, Boise, ID 83704-4568 | 2020-06-16 |
| 1437779469 | Nutrition Dejunked LLC | Dietitian, Registered | 3350 W Americana Ter Ste 215, Boise, ID 83706-2545 | 2020-04-20 |
| 1902445240 | Benjamin Von Lindern | Dietitian, Registered | 6333 N Buckley Pl, Boise, ID 83713-1204 | 2020-01-03 |
| 1215576095 | Lea Steiner | Dietitian, Registered | 500 W Fort St Stop 120, Boise, ID 83702-4501 | 2019-12-27 |
| 1508404880 | Morgan Alexis Pearson | Dietitian, Registered | 3301 W Camrose Ln, Boise, ID 83706-2712 | 2019-12-17 |
| 1720632433 | Jill Amber Leiser | Dietitian, Registered | 600 N Robbins Rd Ste 100, Boise, ID 83702-4564 | 2019-07-31 |
| 1790343127 | Carly Ruth Metcalf | Dietitian, Registered | 3562 S Tk Ave, Boise, ID 83705-5278 | 2019-05-31 |
| 1760049217 | Barbara Gordon | Dietitian, Registered | 2723 N Lakeharbor Ln, Boise, ID 83703-6240 | 2019-05-21 |
| 1538625827 | Boise Optimal Nutrition LLC | Dietitian, Registered | 6126 W State St Ste 206, Boise, ID 83703-2741 | 2019-02-12 |
| Find all providers in BOISE | ||||
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| 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.