NPI 1659909935 · live from the CMS NPI Registry
Emily Dawn Clay, RDN, LD
Dietitian, Registered in Boise, ID. National Provider Identifier 1659909935, active.
NPI record
| NPI | 1659909935 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 900 N Liberty St, Boise, ID 83704 |
| Practice phone | 208-367-7190 |
| Mailing address | 13407 N 5th Ave, Boise, ID 83714 |
| Enumerated | March 31, 2020 |
| Last updated | March 31, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-915 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.