NPI age
18 years
Enumerated 2008-02-25
● Active Type 2 · Organization
Nutritional Medicine Of Idaho
Nutritional Medicine Of Idaho is 1 of 11 nutritionist organizations in Idaho.
Primary specialty
Nutritionist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
MacHa
Owner
Last NPPES update
2008-02-25
Source: monthly bulk 2026-05
How this organization compares
Across 11 active nutritionist providers in Idaho.
NPI age
18 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1520 W State St, Suite 220
Boise, ID 837024085
Mailing address
1520 W State St, Suite 220
Boise, ID 837024085
Authorized official
Matthew R MacHa, M.D.
Owner
📞 2083433883
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Nicole Barnes, P.T. Physical Therapist NPI 1871769307
- Jessica Briggs, PA-C Physician Assistant NPI 1053311084
- Idalyn Cyprus, MD Family Medicine NPI 1245210228
- Michelle Doran, NP Nurse Practitioner NPI 1316346059
- Amelia Doty-Jones, LCSW Social Worker NPI 1285000380
- Kathleen Duffy, PA-C Physician Assistant NPI 1154301141
- Catherine Duke, P.T. Physical Therapist NPI 1114363199
- Kevin Hudson, PA-C Physician Assistant NPI 1922088905
- William Jonakin, MD Family Medicine NPI 1114907524
- Madeline Lima, PA Physician Assistant NPI 1508245010
- Wajeeh Nasser, MD Family Medicine NPI 1083694053
- Collin Reid Physical Therapist NPI 1124477716
- Adreeanna Scrivner, RN Registered Nurse NPI 1114737921
- Tara Whitaker, MD Family Medicine NPI 1134416647
Specialties
-
Nutritionist PrimaryDefinition to come...
Practice context
Multi-provider organization. 14 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.