ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER (NPI# 1821239781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821239781 |
| Entity Type | Organization |
| Organization Name | ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER |
| Practice Address |
357 W Center St Ste 204 Pocatello ID 83204-3236 |
| Practice Telephone | 2084788400 |
| Practice Fax Number | 2082326018 |
| Mailing Telephone | 2084788400 |
| Mailing Fax Number | 2082326018 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |
| Authorized Official Name | MRS. ANNETTE NICA DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 2084788400 |
| Authorized Official Credential | C.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | ID | Dietary & Nutritional Service Providers |
| Street Address |
357 W CENTER ST STE 204 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225484587 | Riki Evans | Nutritionist | 2017 W Boulder Bar Dr, Meridian, ID 83646-5945 | 2016-05-05 |
| 1811255755 | Lana M Usilton | Nutritionist | 1611 N Whitley Dr, Ste 1a, Fruitland, ID 83619-2177 | 2012-04-29 |
| 1083916290 | Anne Woodhouse | Nutritionist | 725 N 15th St, Boise, ID 83702-4020 | 2010-11-19 |
| 1326375205 | April Crowell | Nutritionist | 725 N 15th St, Boise, ID 83702-4020 | 2009-11-12 |
| 1073754677 | Erin M Brownley | Nutritionist | Mission Rd, Fort Hall, ID 83203-0306 | 2009-03-12 |
| 1902816150 | Julie Katherine Keller | Nutritionist | 111 Bever Grade, Lapwai, ID 83540 | 2006-08-09 |
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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.