NPI 1831703057 · live from the CMS NPI Registry
Hydee Flishaw Tubbs Becker, RDN
Dietitian, Registered in Moscow, ID. National Provider Identifier 1831703057, active.
NPI record
| NPI | 1831703057 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 614 North Hayes Street, Moscow, ID 83843 |
| Practice phone | 952-607-5050 |
| Enumerated | September 4, 2020 |
| Last updated | September 4, 2020 |
| Sole proprietor | No |
| Other names | Hydee Tubbs |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-880 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.