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JENNIFER LISA ANTHONY RD
NPI 1760156152
Dietitian, Registered - Nutrition, Obesity and Weight Management in Boise, ID

Active since August 09, 2021
777 N RAYMOND ST, BOISE, ID 83704(208) 514-2500 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2023, Aug 9, 2021 (2 updates tracked since 2021).

About Jennifer Lisa Anthony Rd NPPES

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

JENNIFER LISA ANTHONY RD (NPI 1760156152) is an individual nutrition, obesity and weight management provider in Boise, Idaho, licensed in Idaho (D-1017) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1760156152
Entity TypeIndividualFemale
Primary Taxonomy133VN1201X
Provider Legal NameJENNIFER LISA ANTHONYCredential: RD
Location Address777 N RAYMOND STBoise, ID 83704-9251
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500
Phone(208) 514-2500
Sole ProprietorNo
Enumeration DateAugust 9, 2021
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1760156152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
License✔ Licensed in ID · D-1017
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X
777 N RAYMOND ST, Boise, ID 83704
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Other Identifiers 1

Medicaid1760156152ID

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lisa Anthony Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Anthony reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Full Circle Health, Inc.
Same address
Federally Qualified Health Center (FQHC)
777 N RAYMOND ST
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 152 clinicians in this Medicare group
NPI 1841490075 (208) 514-2500
Saint Alphonsus Regional Medical Center Inc
0.4 mi
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1649357716 (208) 367-4148

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TRACY ADAMS DO
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
SARAH A HERSHMAN MD
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
SUMMER E SZUMSKI DO
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
MR. TOM C AHLRICHS LCSW
Social Worker (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 367-6044
DR. WINSLOW GREGORY GERRISH PHD
Psychologist (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
JAMIE E O'NEILL MD
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
OLIVIA G WIESE MD
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
SARAH CURTRIGHT NP
Nurse Practitioner
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500

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 Jennifer Anthony's NPI number?

The NPI number for Jennifer Anthony is 1760156152. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Jennifer Anthony located?

Jennifer Anthony practices at 777 N Raymond St, Boise, ID 83704. The listed phone number is (208) 514-2500.

What is Jennifer Anthony's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Jennifer Anthony enrolled in Medicare?

Yes. Jennifer Anthony is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Anthony reassigns Medicare benefits to 2 organizations: Full Circle Health, Inc. (Boise, ID) and Saint Alphonsus Regional Medical Center Inc (Boise, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Anthony accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan and Select Health list Jennifer Anthony 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 Jennifer Anthony was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.