P Praxis·MD
● Active Type 2 · Organization

Idaho State University

Nutritionist·Meridian, ID· NPI 1487245122 · Enumerated 2021 · 5 years on NPI
Idaho State University is 1 of 11 nutritionist organizations in Idaho.
NPI age
5 years
Enumerated 2021-01-26
Primary specialty
Nutritionist
Plus 7 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2021-01-26
Source: monthly bulk 2026-05

How this organization compares

Across 11 active nutritionist providers in Idaho.

NPI age
5 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
7
In the 27% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-01Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
1311 E Central Dr
Meridian, ID 836427991
📞 2083731926fax 8334991813
Mailing address
1311 E Central Dr
Meridian, ID 836427991
📞 2083731926fax 8334991813

Authorized official

Cynthia Lee Rock
Clinics Director Of Operations
📞 2083731743

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Nutritionist Primary
    Definition to come...
    taxonomy 133NN1002X
  • Dietitian, Registered
    An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies...
    taxonomy 133VN1005X
  • Dietitian, Registered
    A registered dietitian who achieves specialized competency in metabolic nutrition.
    taxonomy 133VN1006X
  • Dietitian, Registered
    An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care,...
    taxonomy 133VN1101X
  • Dietitian, Registered
    An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of...
    taxonomy 133VN1201X
  • Dietitian, Registered
    An individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any...
    taxonomy 133VN1301X
  • Dietitian, Registered
    An individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active...
    taxonomy 133VN1501X
  • Nutritionist
    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
    taxonomy 133N00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ISU Nutrition Clinic
    Type code 3 recorded 2021-01-26

Practice context

Multi-provider organization. 20 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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