NPI 1720741101 · live from the CMS NPI Registry
Krista Michelle Diekemper, RD, LD
Dietitian, Registered in Pocatello, ID. National Provider Identifier 1720741101, active.
NPI record
| NPI | 1720741101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 777 Hospital Way Ste 201, Pocatello, ID 83201 |
| Practice phone | 208-239-2620 |
| Enumerated | October 21, 2021 |
| Last updated | October 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-677 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.