FOUR PILLARS NUTRITION AND WELLNESS, LLC
NPI 1477333599
Dietitian, Registered in Pocatello, ID

Active since October 05, 2023
147 STANFORD AVE, POCATELLO, ID 83201(208) 649-4171(208) 646-4394 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Four Pillars Nutrition And Wellness, Llc NPPES

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

FOUR PILLARS NUTRITION AND WELLNESS, LLC (NPI 1477333599) is a healthcare organization registered as a dietitian, registered in Pocatello, Idaho and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Pocatello and lists Sara Poulsen, Registered Dietitian And Owner, as its authorized official.

NPPES Registry Identity

NPI1477333599
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameFOUR PILLARS NUTRITION AND WELLNESS, LLC
Location Address147 STANFORD AVEPocatello, ID 83201-3425
Mailing Address147 Stanford AvePocatello, ID 83201-3425 · (208) 424-0179 · Fax (208) 646-4394
Fax(208) 646-4394
Organization SubpartNo
Authorized OfficialSara PoulsenRegistered Dietitian And Owner · (208) 649-4171
Enumeration DateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
NPI 1477333599 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.

147 STANFORD AVE, Pocatello, ID 83201

Secondary Practice Location 1

Location 1353 N 4th Ave Ste 102Pocatello, ID 83201-6391 · Phone (208) 649-4171 · Fax (208) 646-4394

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

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

Dietitian, Registered
147 STANFORD AVE
POCATELLO, ID 83201

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 Four Pillars Nutrition And Wellness, LLC's NPI number?

The NPI number for Four Pillars Nutrition And Wellness, LLC is 1477333599. It was assigned to this organization in the NPPES registry on October 5, 2023.

Where is Four Pillars Nutrition And Wellness, LLC located?

Four Pillars Nutrition And Wellness, LLC is located at 147 Stanford Ave, Pocatello, ID 83201. The listed phone number is (208) 649-4171.

What is Four Pillars Nutrition And Wellness, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Four Pillars Nutrition And Wellness, LLC was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.