NPI age
4 years
Enumerated 2021-08-20
● Active
Type 1 · Individual
Ilse M Moreno, RDN
Moreno is 1 of 137 dietitian, registered providers in Boise and 1 of 505 in Idaho.
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 505 active dietitian, registered providers in Idaho.
NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Practice location
305 E Jefferson St
Boise, ID 837126231
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
520 N 4th Ave
Pasco, WA 993015257
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
Part of a multi-provider practice. 64 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new dietitian, registered providers have been added in Boise in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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