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IDAHO STATE UNIVERSITY
NPI 1487245122
Nutritionist - Nutrition, Education in Meridian, ID

Active since January 26, 2021
1311 E CENTRAL DR, MERIDIAN, ID 83642(208) 373-1926(833) 499-1813 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho State University NPPES

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

IDAHO STATE UNIVERSITY (NPI 1487245122), doing business as Isu Nutrition Clinic, is a healthcare organization registered as a nutrition, education in Meridian, Idaho and active in the NPI registry since January 2021. The organization lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1487245122
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameIDAHO STATE UNIVERSITY
Location Address1311 E CENTRAL DRMeridian, ID 83642-7991
Mailing Address1311 E Central DrMeridian, ID 83642-7991 · (208) 373-1926 · Fax (833) 499-1813
Phone(208) 373-1926
Fax(833) 499-1813
Organization SubpartNo
Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743
Enumeration DateJanuary 26, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1487245122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedDietitian, Registered · Nutrition, GerontologicalTaxonomy 133VN1101X
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
Also ListedDietitian, Registered · Nutrition, OncologyTaxonomy 133VN1301X
Also ListedDietitian, Registered · Nutrition, Sports DieteticsTaxonomy 133VN1501X
1311 E CENTRAL DR, Meridian, ID 83642
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Other Names 1

Doing Business AsIsu Nutrition Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. GWENDOLYN LUCILLE WILKENING RPH, PHARMD
Pharmacist (Psychiatric)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1734
DR. DIANA ROSA POTHIER DMD
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1871
DR. KOLE WITT FISHER DMD
Student in an Organized Health Care Education/Training Program
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
DR. ERIC PAUL CERVIN NELSON D.D.S.
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
LEVI WALTERS DDS
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
IDAHO STATE UNIVERSITY - MERIDIAN
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1728
CASEY FLOWERS
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
DR. AUSTIN GIESIGE DDS
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855

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 Idaho State University's NPI number?

The NPI number for Idaho State University is 1487245122. It was assigned to this organization in the NPPES registry on January 26, 2021. The provider is doing business as ISU Nutrition Clinic.

Where is Idaho State University located?

Idaho State University is located at 1311 E Central Dr, Meridian, ID 83642. The listed phone number is (208) 373-1926.

What is Idaho State University'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 Idaho State University was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.