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