NPI age
4 years
Enumerated 2021-12-21
● Active
Type 1 · Individual
Samantha Alix Mitro
Mitro is 1 of 50 dietitian, registered providers in Meridian 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
2023-11-29
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
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
2021-12Enumerated in NPPES
2021
2026
Where they practice
Practice location
520 S Eagle Rd Ste 1223
Meridian, ID 836426355
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
190 E Bannock St
Boise, ID 837126241
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. 5 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.