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

Mr. Timothy Roy Ankenman, RD

Individual provider Registered Dietitian · NPI 1235069964

Mr. Timothy Roy Ankenman, RD is a Registered Dietitian OR Nutrition Professional in Meridian, Idaho. Graduated from University of Mississippi School of Medicine in 2020, 6 years ago. Licensed in Idaho.

Years since qualifying
6
Trained at
University of Mississippi School of Medicine
Licensed in
ID
In the registry since
2026
Specialties on file
3
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

5155 S Hillsdale Ave
Meridian, ID 83642-7587
Phone: (208) 706-9710
Fax: (208) 706-9728
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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-1301 (ID)
Registered Dietitian Taxonomy 133V00000X · Licence 86066149
Sports Dietetics Nutrition Registered Dietitian Taxonomy 133VN1501X · Licence 86066149

Record details

NPI number1235069964
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedMay 22, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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