NPI 1336863935 · live from the CMS NPI Registry
Calli M Bishop, RD
Dietitian, Registered in Boise, ID. National Provider Identifier 1336863935, active.
NPI record
| NPI | 1336863935 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 600 N Robbins Rd, Boise, ID 83702 |
| Practice phone | 208-385-3221 |
| Mailing address | 4239 S Marsala Ave, Meridian, ID 83642 |
| Enumerated | September 28, 2022 |
| Last updated | September 28, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1355 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.