NPI 1235470196 · live from the CMS NPI Registry
Bonnie Colleen Caywood, RD
Dietitian, Registered in Montpelier, ID. National Provider Identifier 1235470196, active.
NPI record
| NPI | 1235470196 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 164 S 5th St, Montpelier, ID 83254 |
| Practice phone | 208-847-1630 |
| Enumerated | March 1, 2013 |
| Last updated | March 1, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-376 (ID) |
| Dietitian, Registered, Nutrition, Renal | 133VN1005X | D-376 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.