HEATHER DAWN LIDDELL RDN, LD
NPI 1477240935
Dietitian, Registered in Boise, ID

Q: What is Heather Liddell's NPI number?

The NPI number for Heather Liddell is 1477240935. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Heather Liddell's specialty?

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

Q: Is Heather Liddell enrolled in Medicare?

No. Heather Liddell has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Heather Liddell was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2023Opted out of Medicare · through Apr 22, 2028

13900 W WAINWRIGHT DR STE 102, BOISE, ID 83713(208) 433-9424 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Heather Dawn Liddell Rdn, Ld NPPES

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

HEATHER DAWN LIDDELL RDN, LD (NPI 1477240935) is an individual dietitian, registered in Boise, Idaho, licensed in Idaho (D-1362) and active in the NPI registry since April 2023. She has opted out of Medicare through April 22, 2028.

NPPES Registry Identity

NPI1477240935

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameHEATHER DAWN LIDDELLCredential: RDN, LD

Location Address13900 W WAINWRIGHT DR STE 102Boise, ID 83713-5028

Mailing Address5689 W Montage CtEagle, ID 83616-7438 · (206) 954-4464

Phone(208) 433-9424

Sole ProprietorNo

Enumeration DateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1477240935 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-1362

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.

13900 W WAINWRIGHT DR STE 102, Boise, ID 83713

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Heather Dawn Liddell Rdn, Ld has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2026 through April 22, 2028.

Opt-Out Effective DateApril 22, 2026

Opt-Out In Effect ThroughApril 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. DELRAY MAUGHAN M.D.

Otolaryngology

13900 W WAINWRIGHT DR STE 102
BOISE, ID 83713

Ada County (208) 938-5823

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 Heather Liddell's NPI number?

The NPI number for Heather Liddell is 1477240935. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Heather Liddell located?

Heather Liddell practices at 13900 W Wainwright Dr Ste 102, Boise, ID 83713. The listed phone number is (208) 433-9424.

What is Heather Liddell's specialty?

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

Is Heather Liddell enrolled in Medicare?

No. Heather Liddell has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Heather Liddell accept?

Health plans from Moda Health Plan, Inc. list Heather Liddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Liddell was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.