OrganizationNutrition SpecialistsDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address2472 W Ladle Rapids St, Meridian, ID 83646-4771(208) 343-3883PECOS EnrollmentBased on the most recent information from CMS, provider Nutrition Specialists 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 ID1467680314Provider TypeOrganizationFull NameNutrition SpecialistsSubpartNoEnumeration Date6/30/2009Last Updated6/30/2009Contact InformationPractice LocationPractice Address2472 W Ladle Rapids St, Meridian, ID 83646-4771Phone(208) 343-3883Fax(208) 493-3087Mailing LocationMailing Address2472 W Ladle Rapids St, Meridian, ID 83646-4771Phone(208) 343-3883Fax(208) 493-3087Authorized OfficialNameSeibert, Jolyn (Owner/President)Phone(208) 343-3883Provider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseD043Idaho