Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho State University

Organization Nutritionist · NPI 1487245122

Idaho State University is a Nutritionist in Meridian, Idaho. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
8

Practice location Address checks out

1311 E Central Dr
Meridian, ID 83642-7991
Phone: (208) 373-1926
Fax: (833) 499-1813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X
Nutritionist Taxonomy 133N00000X
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X
Gerontological Nutrition Registered Dietitian Taxonomy 133VN1101X
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X
Oncology Nutrition Registered Dietitian Taxonomy 133VN1301X
Sports Dietetics Nutrition Registered Dietitian Taxonomy 133VN1501X

Record details

NPI number1487245122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Rock — Clinics Director Of Operations · (208) 373-1743
Other names Isu Nutrition Clinic
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address1311 E Central Dr, Meridian, ID 83642-7991

Other providers in Meridian