| Ms Andrea M Jeffery, RDN, LD | |
|
86 W Yosemite St, Meridian, ID 83646-6786 | |
| (208) 821-0055 | |
| Not Available |
| Full Name | Ms Andrea M Jeffery |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 86 W Yosemite St, 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 |
|---|---|---|---|
| 1619647476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-1125 (Idaho) | Primary |
| Provider Name | Idaho State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952474777 PECOS PAC ID: 4688683030 Enrollment ID: O20060412000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Andrea M Jeffery, RDN, LD 86 W Yosemite St, Meridian, ID 83646-6786 Ph: (208) 821-0055 | Ms Andrea M Jeffery, RDN, LD 86 W Yosemite St, Meridian, ID 83646-6786 Ph: (208) 821-0055 |
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 |