Individual ProviderChrisann M HinsonDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address4716 W Quaker Ridge Dr, Meridian, ID 83646-5042(805) 345-0894PECOS EnrollmentBased on the most recent information from CMS, provider Chrisann M Hinson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063035004Provider TypeIndividualFull NameHinson, Chrisann MCredentialRD/LDGenderFemaleSole ProprietorYesEnumeration Date5/26/2020Last Updated5/26/2020Contact InformationPractice LocationPractice Address4716 W Quaker Ridge Dr, Meridian, ID 83646-5042Phone(805) 345-0894FaxUnlisted FaxMailing LocationMailing Address4716 W Quaker Ridge Dr, Meridian, ID 83646-5042Phone(805) 345-0894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseD-1143Idaho