P Praxis·MD
● Active Type 1 · Individual

MS. Heather Marie Funk, MS, RDN, LDN

Dietitian, Registered·Mountain Home Afb, ID· NPI 1346665189 · Enumerated 2014 · 12 years on NPI
Funk is 1 of 1 dietitian, registered providers in Mountain Home Afb and 1 of 15 in Idaho.
NPI age
12 years
Enumerated 2014-03-04
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-02-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15 active dietitian, registered providers in Idaho.

NPI age
12 years
≈ at median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-03Enumerated in NPPES
2014 2026

Where they practice

Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481062
📞 2088287297
Mailing address
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481062
📞 2088287297

Specialties

  • Dietitian, Registered Primary
    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...
    ID license #D-319 taxonomy 133VN1004X

Practice context

Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.

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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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