L. ELAINE NIEBAUR RD,CSR, LD
NPI 1023240496
Dietitian, Registered - Nutrition, Renal in Pocatello, ID
- Individual
- Female
- Dietitian, Registered
- Nutrition, Renal
About L. NIEBAUR
This page provides the complete NPI Profile along with additional information for L. Niebaur, a provider established in Pocatello, Idaho with a medical specialization in Dietitian, Registered, focusing in nutrition, renal . The healthcare provider is registered in the NPI registry with number 1023240496 assigned on August 2009. The practitioner's primary taxonomy code is 133VN1005X with license number D-009 (ID). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1023240496 Verify this NPI
- Provider Name
- L. ELAINE NIEBAUR RD,CSR, LD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1522 SOD FARM RD POCATELLO, ID 83204
- Location Phone
- (208) 637-1094
- Location Fax
- (208) 637-0750
- Mailing Address
- 1522 SOD FARM RD POCATELLO, ID 83204
- Mailing Phone
- (208) 637-1094
- Mailing Fax
- (208) 637-0750
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-18-2009
- Last Update Date
- 08-18-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered Nutrition, Renal
- Taxonomy Code
- 133VN1005X
- Type
- Dietary & Nutritional Service Providers
- License No.
- D-009
- License State
- ID
- Taxonomy Description
- An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023240496, enumerated as an "individual" on August 18, 2009.
The provider is located at 1522 SOD FARM RD POCATELLO, ID 83204 and the phone number is (208) 637-1094.
Dietitian, Registered with taxonomy code 133VN1005X and a focus in Nutrition, Renal.
