OrganizationActive
North Idaho Weight Loss, LLC.
NPI 1134768393 · Obesity and Weight Management Nutrition Registered Dietitian · Coeur D Alene, ID
Provider details
- NPI number
- 1134768393
- Entity type
- Organization
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Penny Burciaga, Functional Nutritionist/Owner(805) 888-7077
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
118 N 7th St Ste C12
Coeur D Alene, ID 83814-2709
Phone: (208) 274-3611
Street-level locationGet directions
Mailing address
118 N 7th St Ste C12
Coeur D Alene, ID 83814-2709
Registry dates
- Enumerated
- 2020-01-05
- Last updated
- 2020-01-05
- Certified
- 2020-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.