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

MS. Tracy Jo Green, RD

Individual provider Registered Dietitian · NPI 1710391669

MS. Tracy Jo Green, RD is a Registered Dietitian in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2014
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

705 Ebony St
Pocatello, ID 83201-5643
Phone: (208) 221-9085
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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-748 (ID)

Record details

NPI number1710391669
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJune 19, 2014
Last updated in NPPESJune 19, 2014

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