KODY MICHAEL DUCLOS RD, LD
NPI 1033748124
Dietitian, Registered - Nutrition, Pediatric in Boise, ID

Active since April 02, 2020
305 E JEFFERSON ST, BOISE, ID 83712(208) 381-7081 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kody Michael Duclos Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODY MICHAEL DUCLOS RD, LD (NPI 1033748124) is an individual nutrition, pediatric provider in Boise, Idaho, licensed in Idaho (86117056) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1033748124
Entity TypeIndividualMale
Primary Taxonomy133VN1004X
Provider Legal NameKODY MICHAEL DUCLOSCredential: RD, LD
Location Address305 E JEFFERSON STBoise, ID 83712-6231
Mailing Address5176 W Mercury CtBoise, ID 83705-3746 · (208) 507-5656
Sole ProprietorNo
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
NPI 1033748124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License Licensed in ID · 86117056
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.

Also ListedDietitian, Registered · Nutrition, OncologyTaxonomy 133VN1301X · License 86117056 (ID)
Also ListedDietitian, Registered · Nutrition, Pediatric Critical CareTaxonomy 133VN1401X · License 86117056 (ID)
305 E JEFFERSON ST, Boise, ID 83712

Other Identifiers 1

Other86117056ID · Commission On Dietetic Registration

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Dietitian, Registered
305 E JEFFERSON ST
BOISE, ID 83712
Social Worker (Clinical)
305 E JEFFERSON ST
BOISE, ID 83712
Optometrist
305 E JEFFERSON ST
BOISE, ID 83712
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Physician Assistant (Surgical)
305 E JEFFERSON ST
BOISE, ID 83712
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Pediatrics (Pediatric Nephrology)
305 E JEFFERSON ST
BOISE, ID 83712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kody Duclos's NPI number?

The NPI number for Kody Duclos is 1033748124. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Kody Duclos located?

Kody Duclos practices at 305 E Jefferson St, Boise, ID 83712. The listed phone number is (208) 381-7081.

What is Kody Duclos's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

What insurance does Kody Duclos accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kody Duclos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kody Duclos was last updated on April 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.