NPI age
9 years
Enumerated 2016-09-13
● Active
Type 1 · Individual
Niki Mix, RDN, LD
Mix is 1 of 3 dietitian, registered providers in Soda Springs and 1 of 505 in Idaho.
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-13
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
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Practice location
251 S 1st E
Soda Springs, ID 832761601
Mailing address
251 S 1st E
Soda Springs, ID 832761601
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
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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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.