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

Mountain Home Nutrition Services LLC

Organization Registered Dietitian · NPI 1417442120

Mountain Home Nutrition Services LLC is a Registered Dietitian in Mountain Home, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

285 E 4th N
Mountain Home, ID 83647
Phone: (208) 590-0858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-039 (ID)

Record details

NPI number1417442120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Moulton — Owner · (208) 590-9348
NPI enumeratedJune 25, 2018
Last updated in NPPESSeptember 11, 2018
Mailing address285 E 4th N, Mountain Home, ID 83647-2716

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