NPI age
6 years
Enumerated 2020-01-05
● Active Type 2 · Organization
North Idaho Weight Loss, Llc.
North Idaho Weight Loss, Llc. is 1 of 8 dietitian, registered organizations in Idaho.
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Burciaga
Functional Nutritionist/owner
Last NPPES update
2020-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 8 active dietitian, registered providers in Idaho.
NPI age
6 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
118 N 7th St Ste C12
Coeur D Alene, ID 838142709
Mailing address
118 N 7th St Ste C12
Coeur D Alene, ID 838142709
Authorized official
Penny J Burciaga
Functional Nutritionist/owner
📞 8058887077
Specialties
-
Dietitian, Registered PrimaryAn 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...
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.