NPI 1184388407 · live from the CMS NPI Registry
Teresa Chinn, RD
Dietitian, Registered in Nampa, ID. National Provider Identifier 1184388407, active.
NPI record
| NPI | 1184388407 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1127 Caldwell Blvd, Nampa, ID 83651 |
| Practice phone | 208-465-4935 |
| Mailing address | 85 Flowing Springs Rd, Boise, ID 83716 |
| Enumerated | October 22, 2021 |
| Last updated | October 22, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1169 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.