| Katie Malissa Miedema, MPH, RD | |
|
3000 E Lucca Dr, Meridian, ID 83642-3083 | |
| (949) 572-9275 | |
| Not Available |
| Full Name | Katie Malissa Miedema |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3000 E Lucca Dr, Meridian, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689266629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-1173 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Malissa Miedema, MPH, RD 1740 E Fairview Ave # 99, Meridian, ID 83642-5702 Ph: (949) 572-9275 | Katie Malissa Miedema, MPH, RD 3000 E Lucca Dr, Meridian, ID 83642-3083 Ph: (949) 572-9275 |
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 |