IndividualActive
Heather Liddell, RDN, LD
NPI 1477240935 · Registered Dietitian · Boise, ID
Provider details
- NPI number
- 1477240935
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- License
- D-1362 (ID)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
13900 W Wainwright Dr Ste 102
Boise, ID 83713-5028
Phone: (208) 433-9424
Street-level locationGet directions
Mailing address
5689 W Montage Ct
Eagle, ID 83616-7438
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2023-04-24
- Certified
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.