NPI 1457063315 · live from the CMS NPI Registry
Brooke Louise Ames
Dietitian, Registered in Meridian, ID. National Provider Identifier 1457063315, active.
NPI record
| NPI | 1457063315 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 520 S Eagle Rd, Meridian, ID 83642 |
| Practice phone | 208-706-5000 |
| Mailing address | 520 S Eagle Rd Ste 1223, Meridian, ID 83642 |
| Enumerated | December 21, 2022 |
| Last updated | March 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.