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

Katie Malissa Miedema, MPH, RD

Individual provider Registered Dietitian · NPI 1689266629

Katie Malissa Miedema, MPH, RD is a Registered Dietitian in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

3000 E Lucca Dr
Meridian, ID 83642-3083
Phone: (949) 572-9275
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-1173 (ID)

Record details

NPI number1689266629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPH , RD
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

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