IndividualActive
Kathy Puckett, RDLDCDE
NPI 1891006102 · Registered Dietitian · Blackfoot, ID
Kathy Puckett, RDLDCDE is a Registered Dietitian provider in Blackfoot, ID (NPI 1891006102).
Provider details
- NPI number
- 1891006102
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDLDCDE
- Sex
- Female
- Sole proprietor
- No
- License
- D-361 (ID)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 785-4100
Fax: (208) 785-8959
Street-level locationGet directions
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Registry dates
- Enumerated
- 2010-07-01
- Last updated
- 2010-10-04
Frequently asked questions
- What is Kathy Puckett's NPI number?
- Kathy Puckett's National Provider Identifier (NPI) is 1891006102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathy Puckett's specialty?
- Kathy Puckett is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kathy Puckett located?
- Kathy Puckett's practice location on file with NPPES is 98 Poplar St, Blackfoot, ID 83221-1758.
- What is Kathy Puckett's phone number?
- The practice phone number listed in the NPPES registry for Kathy Puckett is (208) 785-4100.
- Is Kathy Puckett's NPI active?
- Yes — Kathy Puckett's NPI (1891006102) is active in the NPPES registry as of the last update on 2010-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.