Nutritionist

KARA JO HERNDON RD

Public NPPES listing with taxonomy: Dietitian, Registered.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1013691633

Taxonomy: Dietitian, Registered (133V00000X)

Source confidence: 68%

Medicare assignment: Unknown from NPPES

Address: 1014 BURRELL AVE, LEWISTON, ID, 835015472

Phone: 208-748-4558

Last verified: May 15, 2026