ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER, PA (NPI# 1952782914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952782914 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER, PA |
| Practice Address |
3910 Washington Pkwy Idaho Falls ID 83404-7596 |
| Practice Telephone | 2085231122 |
| Practice Fax Number | 2085230611 |
| Mailing Telephone | 2085231122 |
| Mailing Fax Number | 2085230611 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | JANET M HOOVER (BILLING MANAGER) |
| Authorized Official Telephone | 2085289625 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D-841 | ID | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE OF IDAHO BOARD OF MEDICINE LICENSE | D-841 | 01 |
| Street Address |
3910 WASHINGTON PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159423 | Carl D Vance | Internal Medicine | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2005-07-30 |
| 1821656356 | Ivon Carrillo | Dietitian, Registered | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2019-05-30 |
| 1619416674 | Kathryn Nielsen | Nurse Practitioner | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2017-02-22 |
| 1437531738 | Beatriz Diaz | Dietitian, Registered | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2015-06-23 |
| 1679813489 | Lisa Ann Hardy | Dietitian, Registered | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2013-02-15 |
| 1154528727 | Joshua Michael Smith | Pediatrics | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2007-06-28 |
| 1336220243 | Rocky Mountain Diabetes and Osteoporosis Center Pa | Internal Medicine | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1588129746 | Rebecca Armstrong Jones | Dietitian, Registered | 524 Whittier St, Idaho Falls, ID 83401-2627 | 2019-02-01 |
| 1457855538 | Emily Clare Mcmullin | Dietitian, Registered | 3318 Blaze Dr, Idaho Falls, ID 83401-6458 | 2018-03-22 |
| 1679087902 | Chera Bessie Morris | Dietitian, Registered | 2235 E 25th St Ste 280, Idaho Falls, ID 83404-7538 | 2017-11-22 |
| 1922415249 | Food Freedom Nutrition, LLC | Dietitian, Registered | 2235 East 25th Street Suite #280, Idaho Falls, ID 83404 | 2014-07-18 |
| 1801114855 | Anna Long | Dietitian, Registered | 4150 Silverado Dr, Idaho Falls, ID 83404-7788 | 2010-05-13 |
| 1467770792 | Lindsay Venn | Dietitian, Registered | 3320 S 25th E, Idaho Falls, ID 83404 | 2010-05-11 |
| 1497997159 | Carol Diane Atchison | Dietitian, Registered | 5957 W. 33rd South, Idaho Falls, ID 83402-5682 | 2009-03-27 |
| 1225236037 | Sandra Birch | Dietitian, Registered | 2860 Channing Way Ste 102, Idaho Falls, ID 83404-7532 | 2007-07-03 |
| 1154944288 | Kristina Stickley | Dietitian, Registered | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-05-22 |
| 1235780990 | Katie Jo Leask | Dietitian, Registered | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2019-09-24 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER, PA.
| 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.