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

Samantha Wade, RD

Individual provider Registered Dietitian · NPI 1891416889

Samantha Wade, RD is a Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1910 University Dr
Boise, ID 83725-0002
Phone: (206) 795-2335
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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-1287 (ID)

Record details

NPI number1891416889
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 3, 2022

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