MOUNTAIN STATES DIABETES RELIEF, LLC
NPI 1144783499
Internal Medicine - Endocrinology, Diabetes & Metabolism in Idaho Falls, ID

Q: What is Mountain States Diabetes Relief, LLC's NPI number?

The NPI number for Mountain States Diabetes Relief, LLC is 1144783499. It was assigned to this organization in the NPPES registry on April 12, 2019.

Q: What is Mountain States Diabetes Relief, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since April 12, 2019

4573 E MAJESTIC, IDAHO FALLS, ID 83406(208) 520-2636 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mountain States Diabetes Relief, Llc NPPES

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

MOUNTAIN STATES DIABETES RELIEF, LLC (NPI 1144783499) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Idaho Falls, Idaho and active in the NPI registry since April 2019. The organization lists Katie Davenport, Partner, as its authorized official.

NPPES Registry Identity

NPI1144783499

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameMOUNTAIN STATES DIABETES RELIEF, LLC

Location Address4573 E MAJESTICIdaho Falls, ID 83406

Mailing Address4573 E MajesticIdaho Falls, ID 83406 · (208) 520-2636

Phone(208) 520-2636

Organization SubpartNo

Authorized OfficialKatie DavenportPartner · (208) 520-2636

Enumeration DateApril 12, 2019

✔ NPI 1144783499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

4573 E MAJESTIC, Idaho Falls, ID 83406

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mountain States Diabetes Relief, LLC's NPI number?

The NPI number for Mountain States Diabetes Relief, LLC is 1144783499. It was assigned to this organization in the NPPES registry on April 12, 2019.

Where is Mountain States Diabetes Relief, LLC located?

Mountain States Diabetes Relief, LLC is located at 4573 E Majestic, Idaho Falls, ID 83406. The listed phone number is (208) 520-2636.

What is Mountain States Diabetes Relief, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Mountain States Diabetes Relief, LLC was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.