NPI age
12 years
Enumerated 2014-02-27
● Active
Type 1 · Individual
Joanna Bork
Bork is 1 of 9 dietitian, registered providers in Boise and 1 of 15 in Idaho.
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-02-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15 active dietitian, registered providers in Idaho.
NPI age
12 years
≈ at median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-02Enumerated in NPPES
2014
2026
Where they practice
Practice location
100 E Idaho St, Suite 200
Boise, ID 837126267
Mailing address
624 N Glen Aspen Way
Star, ID 836695755
Specialties
-
Dietitian, Registered PrimaryAn individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill...
Practice context
Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new dietitian, registered provider has been added in Boise in the last 180 days.
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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.
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