Taxonomy Code 133VN1004X(133vn1004x)
Pediatric Nutrition Registered Dietitian. Providers: 9

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Pediatric Nutrition Registered Dietitian Providers

NPI Name Type Address

1740605740

Joanna Bork

Individual

100 E Idaho St

Suite 200

Boise, ID

1235538802

MRS. MS, RD, LD Melissa Marie Wallinga

Individual

190 E Bannock St

Boise, ID

1144611872

MS, RD, CSP, LD Jobeth Deanna Kuchar

Individual

1465 Deer Crest Street

Building P 101

Meridian, ID

1225423262

RD, CNSC, LD Serena Arave

Individual

267 E Old Saybrook Dr

Boise, ID

1558761601

RD, LD, CNSC Marie Bailey-dabney

Individual

190 E Bannock St

Boise, ID

1659665545

R.D., CSR, L.D. Laura Margaret Boquette

Individual

100 E Idaho St Ste 200

Boise, ID

1346665189

MS. MS, RDN, LDN Heather Marie Funk

Individual

90 Hope Dr Bldg 6000

Mountain Home Afb, ID

1033748124

RD, LD Kody Michael Duclos

Individual

305 E Jefferson St

Boise, ID

1114656907

Northwest Nutrition Consulting

Organization

206 W Ironwood Dr # 1005

Coeur D Alene, ID

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 133VN1004X
Specialization Nutrition, Pediatric
Display Name Pediatric Nutrition Registered Dietitian
Taxonomy Group Dietary & Nutritional Service Providers
Taxonomy Classification Dietitian, Registered
Definition An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Dietitian, Registered Codes

Gerontological Nutrition Registered Dietitian

133VN1101X • providers: 35

Metabolic Nutrition Registered Dietitian

133VN1006X • providers: 817

Obesity and Weight Management Nutrition Registered Dietitian

133VN1201X • providers: 218

Oncology Nutrition Registered Dietitian

133VN1301X • providers: 66

Pediatric Critical Care Nutrition Registered Dietitian

133VN1401X • providers: 2

Registered Dietitian

133V00000X • providers: 54,129

Renal Nutrition Registered Dietitian

133VN1005X • providers: 613

Sports Dietetics Nutrition Registered Dietitian

133VN1501X • providers: 103