NPI age
7 years
Enumerated 2018-06-25
● Active Type 2 · Organization
Mountain Home Nutrition Services Llc
Mountain Home Nutrition Services Llc is 1 of 505 dietitian, registered organizations in Idaho.
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moulton
Owner
Last NPPES update
2018-09-11
Source: monthly bulk 2026-05
How this organization compares
Across 505 active dietitian, registered providers in Idaho.
NPI age
7 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-06Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
285 E 4th N
Mountain Home, ID 83647
Mailing address
285 E 4th N
Mountain Home, ID 836472716
Authorized official
Laura J Moulton, RD,LD
Owner
📞 2085909348
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Clifton Andrews, D.C. Chiropractor NPI 1245367135
- Laura Moulton, R.D.N. Dietitian, Registered NPI 1558861831
Specialties
-
Dietitian, Registered PrimaryA 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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