NPI age
11 years
Enumerated 2014-06-19
● Active
Type 1 · Individual
MS. Tracy Jo Green, R.D.
Green is 1 of 16 dietitian, registered providers in Pocatello and 1 of 505 in Idaho.
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-06-19
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
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Practice location
705 Ebony St
Pocatello, ID 832015643
Mailing address
705 Ebony St
Pocatello, ID 832015643
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 →
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