NPPES file of Aug 9, 2026

Kelly Petersen, RD

Registered Dietitian · Chubbuck, ID

Kelly Petersen, RD is a registered dietitian with a practice address in Chubbuck, Idaho, and NPI 1407637101, issued on Oct 9, 2023. Check the license with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407637101
Name
Kelly Petersen
Credential
RD
Primary taxonomy
Registered Dietitian 133V00000X
Practice location
841 Mckay St, Chubbuck, ID 83202
Phone
(208) 705-5553
Enumerated
Oct 9, 2023
Record last updated
Oct 9, 2023
Medicare enrollment
Enrolled (PECOS I20240110004526); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Kelly Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Nourish, Inc.Austin, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

3 registered dietitian records list a practice address in Chubbuck

They are 3 of the 264 NPPES records with a practice address in Chubbuck, and 475 registered dietitian records in Idaho.

All 3 in Chubbuck → All 475 in Idaho → Every provider in Chubbuck →

Other registered dietitian records in Idaho

  1. Katie Adrian, RDCoeur D Alene, ID1053741371
  2. Sanjuanita AguilarPayette, ID1881930378
  3. Carrie Albers, R.D.Boise, ID1689987422
  4. Trisha Alderson, MPH, RD, CDEBoise, ID1144552936
  5. Katherine Alper, MS, RDN, LDTwin Falls, ID1487309605
  6. Cynthia Alvarez, RD, LDNampa, ID1235904814
  7. Jacqueline Amende Lewis, RDMeridian, ID1881488104
  8. Amanda Ament, RDNCoeur D Alene, ID1043837685
  9. Brooke AmesMeridian, ID1457063315
  10. Sharon Anderson, RDCoeur D Alene, ID1871810507

Common questions

What is Kelly Petersen, RD's NPI number?

Kelly Petersen, RD's National Provider Identifier (NPI) is 1407637101, issued on Oct 9, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Petersen, RD located?

The NPPES record lists a practice address at 841 Mckay St, Chubbuck, ID, 83202. Phone: (208) 705-5553. Providers update this record themselves, so call before visiting.

How can I verify Kelly Petersen, RD's license?

Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.