NUTRITION DEJUNKED LLC
NPI 1437779469
Dietitian, Registered in Boise, ID

Q: What is Nutrition Dejunked LLC's NPI number?

The NPI number for Nutrition Dejunked LLC is 1437779469. It was assigned to this organization in the NPPES registry on April 20, 2020.

Q: What is Nutrition Dejunked LLC's specialty?

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

Active since April 20, 2020

3350 W AMERICANA TER STE 215, BOISE, ID 83706(208) 629-2441 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2020, Apr 20, 2020 (2 updates tracked since 2020).

On this page

About Nutrition Dejunked Llc NPPES

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

NUTRITION DEJUNKED LLC (NPI 1437779469) is a healthcare organization registered as a dietitian, registered in Boise, Idaho and active in the NPI registry since April 2020. The organization lists Kathryn Callahan, Dietitian, as its authorized official.

NPPES Registry Identity

NPI1437779469

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameNUTRITION DEJUNKED LLC

Location Address3350 W AMERICANA TER STE 215Boise, ID 83706-2545

Mailing Address3350 W Americana Ter Ste 215Boise, ID 83706-2545 · (208) 629-2441

Phone(208) 629-2441

Organization SubpartNo

Authorized OfficialKathryn CallahanDietitian · (208) 629-2441

Enumeration DateApril 20, 2020

Last NPPES UpdateMay 21, 20202 updates tracked since enumeration

NPPES CertifiedMay 21, 2020

✔ NPI 1437779469 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.

3350 W AMERICANA TER STE 215, Boise, ID 83706

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nutrition Dejunked Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nutrition Dejunked LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kathryn Callahan, MS, RDN, LD

Registered Dietitian or Nutrition Professional

NPI 1356992937

3350 W AMERICANA TER STE 215
Boise, ID 83706

(208) 629-2441

Same address

Myah Merino, RDN

Registered Dietitian or Nutrition Professional

NPI 1972344570

2645 N COLE RD STE E
Boise, ID 83704

(208) 629-4255

2.8 mi

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 Nutrition Dejunked LLC's NPI number?

The NPI number for Nutrition Dejunked LLC is 1437779469. It was assigned to this organization in the NPPES registry on April 20, 2020.

Where is Nutrition Dejunked LLC located?

Nutrition Dejunked LLC is located at 3350 W Americana Ter Ste 215, Boise, ID 83706. The listed phone number is (208) 629-2441.

What is Nutrition Dejunked LLC's specialty?

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

Is Nutrition Dejunked LLC enrolled in Medicare?

Yes. Nutrition Dejunked LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nutrition Dejunked LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Nutrition Dejunked 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nutrition Dejunked LLC was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.