Hailie Kate Kuttler, RDN, LD, IFNCP | |
2198 W Jayton Dr, Meridian, ID 83642-7600 | |
(208) 870-3002 | |
Not Available |
Full Name | Hailie Kate Kuttler |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2198 W Jayton Dr, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295405967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D-1208 (Idaho) | Primary |
Provider Name | Trailblazer Integrative & Functional Nutrition, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649989161 PECOS PAC ID: 5991177693 Enrollment ID: O20230206002497 |
Mailing Address | Practice Location Address |
---|---|
Hailie Kate Kuttler, RDN, LD, IFNCP 2198 W Jayton Dr, Meridian, ID 83642-7600 Ph: (208) 870-3002 | Hailie Kate Kuttler, RDN, LD, IFNCP 2198 W Jayton Dr, Meridian, ID 83642-7600 Ph: (208) 870-3002 |
Eileen Myers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 965 W Eider Dr, Meridian, ID 83642 Phone: 208-258-9782 | |
Chrisann M Hinson, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4716 W Quaker Ridge Dr, Meridian, ID 83646 Phone: 805-345-0894 | |
Caylee Ketchum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1098 E Winslow St, Meridian, ID 83642 Phone: 208-860-3451 | |
R2ms Wellness Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5410 S Ashcroft Way, Meridian, ID 83642 Phone: 208-505-8725 Fax: 208-567-0892 | |
Jobeth Deanna Kuchar, MS, RD, CSP, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1465 Deer Crest Street, Building P 101, Meridian, ID 83646 Phone: 402-310-3662 | |
Mrs. Cierra Nicole Neiwert, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1859 S Topaz Way Ste 100, Meridian, ID 83642 Phone: 208-209-2432 Fax: 848-859-5885 | |
Mary Ginnetti, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1859 S Topaz Way Ste 100, Meridian, ID 83642 Phone: 208-209-2432 |