P Praxis·MD
● Active Type 1 · Individual

Jennifer Cottrell, RD

Dietitian, Registered·Boise, ID· NPI 1336524040 · Enumerated 2015 · 10 years on NPI
Cottrell is 1 of 137 dietitian, registered providers in Boise and 1 of 505 in Idaho.
NPI age
10 years
Enumerated 2015-07-23
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-11-02
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
10 years
↑ 3 yr above median (7 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Practice location
100 E Idaho St
Boise, ID 837126267
📞 2083818721fax 2083814025
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1201 S Miller St
Wenatchee, WA 988013201
📞 5096621511 x2652fax 5096656261

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-1239WA license #86026446 taxonomy 133V00000X

Identifiers

TypeValueNotes
05 (WA) 1336524040
01 (WA) P01663048 RR PTAN WVH
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 186 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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