Dietitian, Registered Nutrition, Pediatric Health Providers - IDAHO
133VN1004X - Dietitian, Registered Nutrition, Pediatric
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
List of 16 registered providers with a business address in Idaho whose primary or secondary health provider taxonomy code is Dietitian, Registered Nutrition, Pediatric, of which 2 are registered as organizations and 14 as individuals.
List of Providers
| Provider Name | Type | Address | Medicare | |
|---|---|---|---|---|
| JENNIFER LISA ANTHONY | Individual | 777 N RAYMOND ST BOISE, ID 83704 (208) 514-2500 | Accepts Medicare | |
| SERENA ARAVE | Individual | 267 E OLD SAYBROOK DR BOISE, ID 83706 (208) 342-7198 | Non-Participating Provider | |
| MARIE BAILEY-DABNEY | Individual | 190 E BANNOCK ST BOISE, ID 83712 (208) 381-4676 | Non-Participating Provider | |
| LAURA MARGARET BOQUETTE | Individual | 100 E IDAHO ST STE 200 BOISE, ID 83712 (208) 381-7081 | Non-Participating Provider | |
| JOANNA BORK | Individual | 100 E IDAHO ST SUITE 200 BOISE, ID 83712 (208) 381-7081 | Non-Participating Provider | |
| KODY MICHAEL DUCLOS | Individual | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7081 | Non-Participating Provider | |
| GRACIE MICHELLE DULICK | Individual | 190 E BANNOCK ST BOISE, ID 83712 (208) 381-3421 | Non-Participating Provider | |
| MEGAN FOLLETT | Individual | 610 W HAYS ST BOISE, ID 83702 (208) 381-7092 | Non-Participating Provider | |
| HEATHER MARIE FUNK | Individual | 90 HOPE DR BLDG 6000 MOUNTAIN HOME AFB, ID 83648 (208) 828-7297 | Non-Participating Provider | |
| JOBETH DEANNA KUCHAR | Individual | 1465 DEER CREST STREET BUILDING P 101 MERIDIAN, ID 83646 (402) 310-3662 | Non-Participating Provider | |
| NORTHWEST NUTRITION CONSULTING | Organization | 206 W IRONWOOD DR # 1005 COEUR D ALENE, ID 83814 (208) 719-2921 | Non-Participating Provider | |
| KIMBERLY JO SCHMIDT | Individual | 100 E IDAHO ST STE 200 BOISE, ID 83712 (208) 484-7770 | Non-Participating Provider | |
| SHANNON LEIAMBRE STAMPER | Individual | 610 W HAYS ST BOISE, ID 83702 (208) 381-7092 | Accepts Medicare | |
| CRISTIANNA F SULLIVAN | Individual | 25 HOKANSON LN UPPR GRANDE SALMON, ID 83467 (208) 487-4839 | Non-Participating Provider | |
| MELISSA MARIE WALLINGA | Individual | 190 E BANNOCK ST BOISE, ID 83712 (208) 381-2222 | Non-Participating Provider | |
| YOUR FIT FORK | Organization | 1245 FILER AVE E TWIN FALLS, ID 83301 (208) 536-3975 | Non-Participating Provider |
Showing page 1 of 1. The results table displays up to 100 results per page and is sorted by last name / organization name.
Individual Female Provider | Individual Male Provider | Medical Organization
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- 133V00000X
- 133VN1005X
