'IN CARE OF' NOURISH YOUR LIFE
NPI 1164030755
Dietitian, Registered in Nampa, ID

Q: What is Sandy Kipp Rdn LLC's NPI number?

The NPI number for Sandy Kipp Rdn LLC is 1164030755. It was assigned to this organization in the NPPES registry on July 20, 2020. The provider is also known as 'in Care Of' Nourish Your Life.

Q: What is Sandy Kipp Rdn LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since July 20, 2020

1105 2ND ST. S., NAMPA, ID 83651(208) 250-0836(888) 972-6280 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2023, Nov 6, 2023, Oct 26, 2023 and 1 more (4 updates tracked since 2020).

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About 'in Care Of' Nourish Your Life NPPES

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

'IN CARE OF' NOURISH YOUR LIFE (NPI 1164030755) is a healthcare organization registered as a dietitian, registered in Nampa, Idaho and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Nampa and lists Sandra Kipp, Owner/dietitian, as its authorized official.

NPPES Registry Identity

NPI1164030755

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameSANDY KIPP RDN LLC

Location Address1105 2ND ST. S.Nampa, ID 83651

Mailing Address823 W Mountain Ash LoopNampa, ID 83686-2681 · (208) 250-0836 · Fax (888) 972-6280

Phone(208) 250-0836

Fax(888) 972-6280

Organization SubpartNo

Authorized OfficialSandra KippOwner/dietitian · (208) 250-0836

Enumeration DateJuly 20, 2020

Last NPPES UpdateDecember 6, 20234 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1164030755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1105 2ND ST. S., Nampa, ID 83651

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Other Names 1

Other Name'in Care Of' Nourish Your Life

Secondary Practice Location 1

Location 1823 W Mountain Ash LoopNampa, ID 83686-2681 · Phone (208) 250-0836

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

'in Care Of' Nourish Your Life is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 'in Care Of' Nourish Your Life, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sandra Kipp, RDN

Registered Dietitian or Nutrition Professional

NPI 1295145654

1105 2ND ST S
Nampa, ID 83651

(208) 250-0836

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sandy Kipp Rdn LLC's NPI number?

The NPI number for Sandy Kipp Rdn LLC is 1164030755. It was assigned to this organization in the NPPES registry on July 20, 2020. The provider is also known as 'in Care Of' Nourish Your Life.

Where is Sandy Kipp Rdn LLC located?

Sandy Kipp Rdn LLC is located at 1105 2nd St. S., Nampa, ID 83651. The listed phone number is (208) 250-0836.

What is Sandy Kipp Rdn LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Sandy Kipp Rdn LLC enrolled in Medicare?

Yes. Sandy Kipp Rdn LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandy Kipp Rdn LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Sandy Kipp Rdn LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sandy Kipp Rdn LLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.