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NPI 1649989161
● Active Type 2 · Organization
Trailblazer Integrative & Functional Nutrition, Llc
Dietitian, Registered · Meridian, ID · NPI 1649989161
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Enumerated 2022 · 3 years on NPI
Trailblazer Integrative & Functional Nutrition, Llc is 1 of 505 dietitian, registered organizations in Idaho.
NPI age
3 years
Enumerated 2022-11-23
Primary specialty
Dietitian, Registered
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Kuttler
Owner
Last NPPES update
2023-01-10
Source: monthly bulk 2026-05
How this organization compares
Across 505 active dietitian, registered providers in Idaho.
NPI age
3 years
↓ 4 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2022 → 2026
2022-11 Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2198 W Jayton Dr
Meridian, ID 836427600
📞 2088703002 fax 2089576544
Mailing address
2198 W Jayton Dr
Meridian, ID 836427600
📞 2088703002 fax 2089576544
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3673 E Sweet Pea Ct
Boise, ID 837166939
📞 2088703002 fax 2089576544
Authorized official
Hailie Kuttler, RDN, LD, IFNCP
Owner
📞 2088703002
Specialties
Dietitian, Registered
Primary
A 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...
taxonomy 133V00000X
Practice context
Multi-site organization.
1 additional practice location on file.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.