Individual ProviderJolyn M SeibertDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address2472 W. Ladle Rapids Street, Meridian, ID 83646-4771(208) 343-3883PECOS EnrollmentBased on the most recent information from CMS, provider Jolyn M Seibert 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 ID1891973244Provider TypeIndividualFull NameSeibert, Jolyn MCredentialR.D.GenderFemaleSole ProprietorYesEnumeration Date2/7/2008Last Updated7/1/2009Contact InformationPractice LocationPractice Address2472 W. Ladle Rapids Street, Meridian, ID 83646-4771Phone(208) 343-3883Fax(208) 493-3087Mailing LocationMailing Address2472 W Ladle Rapids St, Meridian, ID 83646-4771Phone(208) 343-3883Fax(208) 493-3078Provider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseD043Idaho