NPI 1699705087 · live from the CMS NPI Registry
Karen Diane Donaldson, M.S., R.D., L.D.
Dietitian, Registered in Pocatello, ID. National Provider Identifier 1699705087, active.
NPI record
| NPI | 1699705087 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 845 W Center St # 208, Pocatello, ID 83204 |
| Practice phone | 208-406-1084 |
| Enumerated | July 3, 2006 |
| Last updated | November 7, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-479 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.