Provider Demographics
NPI:1972487924
Name:SILVER VALLEY DIETETIC CARE
Entity type:Organization
Organization Name:SILVER VALLEY DIETETIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:EWING
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:208-586-5588
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:ID
Mailing Address - Zip Code:83839-0535
Mailing Address - Country:US
Mailing Address - Phone:208-586-5588
Mailing Address - Fax:
Practice Address - Street 1:100 MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:KELLOGG
Practice Address - State:ID
Practice Address - Zip Code:83837-2502
Practice Address - Country:US
Practice Address - Phone:208-586-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty