Tennille Irene Houston, MHE, RD, LD, CDE | |
1501 Hiland Ave, Cassia Regional Medical Center, Burley, ID 83318-2682 | |
(208) 677-6587 | |
Not Available |
Full Name | Tennille Irene Houston |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1501 Hiland Ave, Burley, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003996398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D-348 (Idaho) | Primary |
Provider Name | Family Health Services Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033165550 PECOS PAC ID: 7012815038 Enrollment ID: O20040216000531 |
Mailing Address | Practice Location Address |
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Tennille Irene Houston, MHE, RD, LD, CDE 278 Dollar Hide Way, Jerome, ID 83338-6554 Ph: (208) 731-8789 | Tennille Irene Houston, MHE, RD, LD, CDE 1501 Hiland Ave, Cassia Regional Medical Center, Burley, ID 83318-2682 Ph: (208) 677-6587 |
Laura Watkins, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Suite H, Burley, ID 83318 Phone: 208-677-6035 | |
Cami Dixon, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6290 | |
Erika Renea Bell, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6576 | |
Vanessa Foster, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6290 | |
Wendy L Whitesides, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 |