P Praxis·MD
● Active Type 2 · Organization

Mountain Home Nutrition Services Llc

Dietitian, Registered·Mountain Home, ID· NPI 1417442120 · Enumerated 2018 · 7 years on NPI
Mountain Home Nutrition Services Llc is 1 of 505 dietitian, registered organizations in Idaho.
NPI age
7 years
Enumerated 2018-06-25
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
📞 2085900858
Mailing address
285 E 4th N
Mountain Home, ID 836472716
📞 2085900858

Authorized official

Laura J Moulton, RD,LD
Owner
📞 2085909348

Individual providers at this organization

2 individual providers on file at this primary practice address.

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-039 taxonomy 133V00000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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