P Praxis·MD
● Active Type 1 · Individual

MISS Kelly Kathleen Otoole Wood, RDN, LDN

Dietitian, Registered·Boise, ID· NPI 1790288124 · Enumerated 2018 · 8 years on NPI
Otoole Wood is 1 of 137 dietitian, registered providers in Boise and 1 of 505 in Idaho.
NPI age
8 years
Enumerated 2018-03-12
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-28
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
8 years
≈ at median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Practice location
6126 W State St
Boise, ID 837032741
📞 2084078921fax 2086947837
Mailing address
13447 N 2nd Ave
Boise, ID 837149409
📞 2084078921fax 2086947837

Additional practice locations

1 secondary location on file with NPPES.

Location 2
13447 N 2nd Ave
Boise, ID 837149409
📞 2084078921

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...
    ID license #D-460 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new dietitian, registered providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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