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

Jennifer Beazer, RDNLD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1053733428

Jennifer Beazer, RDNLD is a Pediatric Nutrition Registered Dietitian in Kalispell, Montana. Works from 2 locations. Licensed in Idaho and Montana.

Licensed in
ID, MT
In the registry since
2014
Specialties on file
4

Practice location Address checks out

202 Conway Dr Ste 200
Kalispell, MT 59901-3153
Phone: (406) 751-4188
Show map & directions

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

Additional practice locations (1)

  • 100 E Idaho St Ste 200, Boise, ID 83712-6270 — (208) 381-7081

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X · Licence 79779 (MT)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 79779 (MT)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence D470 (ID)
Pediatric Critical Care Nutrition Registered Dietitian Taxonomy 133VN1401X · Licence 79779 (MT)

Record details

NPI number1053733428
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDNLD
Sole proprietorNo
NPI enumeratedJanuary 20, 2014
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing address248 1st Ave W Unit 1342, Kalispell, MT 59903-7056