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NPI 1417328121
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Type 1 · Individual
Vanessa Joana Rojas-Bautista, R.D.N.
Dietitian, Registered · Star, ID · NPI 1417328121
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Enumerated 2015 · 10 years on NPI
Rojas-Bautista is 1 of 1 dietitian, registered providers in Star and 1 of 9 in Idaho.
NPI age
10 years
Enumerated 2015-10-08
Primary specialty
Dietitian, Registered
Status
Active
No deactivations on record
Last NPPES update
2024-09-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 9 active dietitian, registered providers in Idaho.
NPI age
10 years
↓ 4 yr below median (14 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-10 Enumerated in NPPES
2015
2026
Where they practice
Practice location
680 S Calhoun Pl
Star, ID 836695310
📞 2083531528
Mailing address
680 S Calhoun Pl
Star, ID 836695310
📞 2083531528
Additional practice locations
1 secondary location on file with NPPES.
Location 2
101 City Drive, Bldg. 51
Orange, CA 928683217
📞 7144568636 fax 7144567816
Specialties
Dietitian, Registered
Primary
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies...
CA license #1096678 taxonomy 133VN1005X
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
This provider is listed as a sole proprietor.
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How to verify this provider
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Check the state license is currently active. State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.