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NUTRITIONAL MEDICINE OF IDAHO
NPI 1467621383
Nutritionist - Nutrition, Education in Boise, ID

Active since February 25, 2008
1520 W STATE ST, SUITE 220, BOISE, ID 83702(208) 343-3883(208) 287-2010 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nutritional Medicine Of Idaho NPPES

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

NUTRITIONAL MEDICINE OF IDAHO (NPI 1467621383) is a healthcare organization registered as a nutrition, education in Boise, Idaho and active in the NPI registry since February 2008. The organization lists Matthew R Macha, Owner, as its authorized official.

NPPES Registry Identity

NPI1467621383
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameNUTRITIONAL MEDICINE OF IDAHO
Location Address1520 W STATE ST, SUITE 220Boise, ID 83702-4085
Mailing Address1520 W State St, Suite 220Boise, ID 83702-4085 · (208) 343-3883 · Fax (208) 287-2010
Phone(208) 343-3883
Fax(208) 287-2010
Organization SubpartNo
Authorized OfficialMatthew R MachaOwner · (208) 343-3883
Enumeration DateFebruary 25, 2008
✔ NPI 1467621383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
License✔ Licensed in ID · D043
1520 W STATE ST, Boise, ID 83702
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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

Other Providers at the Same Location NPPES 16

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

JESSICA ANNE BRIGGS PA-C
Physician Assistant (Medical)
1520 W STATE ST, SUITE 100
BOISE, ID 83702
Ada County (208) 947-7700
ST LUKES REGIONAL MEDICAL CENTER
Family Medicine
1520 W STATE ST, STE 100
BOISE, ID 83702
Ada County (208) 947-7700
WAJEEH E NASSER MD
Family Medicine
1520 W STATE ST, STE 100
BOISE, ID 83702
Ada County (208) 947-7700
CATHERINE ELIZABETH DUKE P.T.
Physical Therapist
1520 W STATE ST, STE. 210
BOISE, ID 83702
Ada County (208) 336-8433
ADREEANNA KAYE SCRIVNER RN
Registered Nurse (Ambulatory Care)
1520 W STATE ST
BOISE, ID 83702
Ada County (208) 947-7700
WILLIAM L JONAKIN MD
Family Medicine
1520 W STATE ST, SUITE 100
BOISE, ID 83702
Ada County (208) 947-7700
COLLIN REID
Physical Therapist
1520 W STATE ST, SUITE 210
BOISE, ID 83702
Ada County (208) 336-8433
TARA S WHITAKER MD
Family Medicine
1520 W STATE ST, SUITE 100
BOISE, ID 83702
Ada County (208) 947-7700

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 Nutritional Medicine Of Idaho's NPI number?

The NPI number for Nutritional Medicine Of Idaho is 1467621383. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Nutritional Medicine Of Idaho located?

Nutritional Medicine Of Idaho is located at 1520 W State St Suite 220, Boise, ID 83702. The listed phone number is (208) 343-3883.

What is Nutritional Medicine Of Idaho's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Nutritional Medicine Of Idaho was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.