Mrs Jessica Badaracco Griffel, RDN, LD | |
990 Cesar Chavez Ave, Pocatello, ID 83209-0001 | |
(208) 282-2330 | |
Not Available |
Full Name | Mrs Jessica Badaracco Griffel |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 990 Cesar Chavez Ave, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144738048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 66610 (Montana) | Primary |
133V00000X | Dietitian, Registered | 86051010 (Idaho) | Secondary |
Provider Name | Northern Nutrition Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740754472 PECOS PAC ID: 3577937275 Enrollment ID: O20230321000155 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Badaracco Griffel, RDN, LD 990 Cesar Chavez Ave, Pocatello, ID 83209-0001 Ph: (208) 282-2330 | Mrs Jessica Badaracco Griffel, RDN, LD 990 Cesar Chavez Ave, Pocatello, ID 83209-0001 Ph: (208) 282-2330 |
Mrs. Courtney Meyers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Hospital Way Bldg D, Pocatello, ID 83201 Phone: 208-239-2070 | |
L. Elaine Niebaur, RD,CSR, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1522 Sod Farm Rd, Pocatello, ID 83204 Phone: 208-637-1094 Fax: 208-637-0750 | |
Abby Jan Wilson, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Hospital Way Bldg D, Pocatello, ID 83201 Phone: 208-239-2070 | |
Tiffany Topliff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1684 Glacier St, Pocatello, ID 83201 Phone: 208-406-3557 | |
Mrs. Joanna Kelley Davidson, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Building A, Suite 201, Pocatello, ID 83201 Phone: 208-239-2737 Fax: 208-239-3778 | |
Callie Miller, MHS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1200 Holman Ave, Pocatello, ID 83201 Phone: 208-871-8755 Fax: 888-462-8913 |