NPI age
17 years
Enumerated 2009-03-23
● Active Type 2 · Organization
Endobiogenic Integrative Medical Center
Endobiogenic Integrative Medical Center is 1 of 26 nutritionist organizations in Idaho.
Primary specialty
Nutritionist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Administrator
Last NPPES update
2009-03-23
Source: monthly bulk 2026-05
How this organization compares
Across 26 active nutritionist providers in Idaho.
NPI age
17 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
357 W Center St Ste 204
Pocatello, ID 832043236
Mailing address
357 W Center St Ste 204
Pocatello, ID 832043236
Authorized official
Annette Nica Davis, C.N.
Administrator
📞 2084788400
Specialties
-
Nutritionist PrimaryA specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
Practice context
Single-site organization. Only one practice location on file.
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- 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.