ILSE M MORENO RDN
NPI 1477229250
Dietitian, Registered in Boise, ID

Active since August 20, 2021
305 E JEFFERSON ST, BOISE, ID 83712(208) 381-7081 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2022, Aug 20, 2021 (2 updates tracked since 2021).

About Ilse M Moreno Rdn NPPES

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

ILSE M MORENO RDN (NPI 1477229250) is an individual dietitian, registered in Boise, Idaho, licensed in Idaho (D-1272) and active in the NPI registry since August 2021. She maintains a secondary practice location in Pasco.

NPPES Registry Identity

NPI1477229250
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameILSE M MORENOCredential: RDN
Location Address305 E JEFFERSON STBoise, ID 83712-6231
Mailing Address190 E Bannock StBoise, ID 83712-6241
Sole ProprietorYes
Enumeration DateAugust 20, 2021
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1477229250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in ID · D-1272
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.

305 E JEFFERSON ST, Boise, ID 83712

Secondary Practice Location 1

Location 1520 N 4th AvePasco, WA 99301-5257 · Phone (509) 542-3052 · Fax (509) 542-3059

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

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.

Pediatrics
305 E JEFFERSON ST, SUITE 101
BOISE, ID 83712
Pediatrics
305 E JEFFERSON ST, SUITE 101
BOISE, ID 83712
Pediatrics
305 E JEFFERSON ST, SUITE 101
BOISE, ID 83712
Dentist (Pediatric Dentistry)
305 E JEFFERSON ST
BOISE, ID 83712
Pediatrics (Pediatric Infectious Diseases)
305 E JEFFERSON ST
BOISE, ID 83712
Pediatrics (Pediatric Nephrology)
305 E JEFFERSON ST
BOISE, ID 83712
Urology (Pediatric Urology)
305 E JEFFERSON ST
BOISE, ID 83712
Physician Assistant
305 E JEFFERSON ST
BOISE, ID 83712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477229250, enumerated as an "individual" on August 20, 2021.

The provider is located at 305 E JEFFERSON ST BOISE, ID 83712 and the phone number is (208) 381-7081.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.