OrganizationActive
Northwest Nutrition Consulting
NPI 1114656907 · Pediatric Nutrition Registered Dietitian · Coeur D Alene, ID
Provider details
- NPI number
- 1114656907
- Entity type
- Organization
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Rebekah Tague, Owner(208) 906-2208
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
206 W Ironwood Dr # 1005
Coeur D Alene, ID 83814-2640
Phone: (208) 719-2921
Street-level locationGet directions
Mailing address
206 W Ironwood Dr Ste 1005
Coeur D Alene, ID 83814-2640
Registry dates
- Enumerated
- 2022-06-07
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.