P Praxis·MD
● Active Type 1 · Individual

Mary Ann Brother, R.D.

Dietitian, Registered·Boise, ID· NPI 1134224421 · Enumerated 2006 · 19 years on NPI
Brother is 1 of 137 dietitian, registered providers in Boise and 1 of 505 in Idaho.
NPI age
19 years
Enumerated 2006-09-13
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 505 active dietitian, registered providers in Idaho.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
500 West Fort
Boise, ID 83702
📞 2084221141
Mailing address
4443 MacKenzie
Boise, ID 83703
📞 2084221141

Specialties

  • Dietitian, Registered Primary
    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...
    ID license #D-092 taxonomy 133V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new dietitian, registered providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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