SearchIdahoRegistered Dietitian

Jordan Dansereau, RDN, IBCLC

NPI 1992428809 · on the registry since 2022 · sole proprietor

Practice

Address
8500 N Atlas Rd
Hayden, ID 83835
Phone
(208) 415-5284
Organisation at this address
Public Health District 1
Public Health District 1
Public Health District 1
Panhandle Health District
Id Dept Of Health & Welfare Cshp (Hd1)
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Also registered as
Lactation Consultant (Non-RN)
Sex
Female
Record last updated
2025-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho