NPI age
18 years
Enumerated 2008-04-24
● Active
Type 1 · Individual
Brenda Lynn Bourn, RD
Bourn is 1 of 137 dietitian, registered providers in Boise and 1 of 505 in Idaho.
Primary specialty
Dietitian, Registered
Plus 2 subspecialties
Licensed in
ID, AZ, NM
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 505 active dietitian, registered providers in Idaho.
NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
1226 W River St
Boise, ID 837027049
Mailing address
Po Box 95461
Cleveland, OH 441010033
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1477728178 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 32 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 →
- 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.