Lynn Marie Dammarell, RD,CDE,LD
NPI 1073959193ActiveIndividual· Dietitian, Registered· Boise, ID
Dietitian, Registered (RD,CDE,LD) with Saint Alphonsus Regional Medical Center Inc, practicing in Boise, Idaho. Medicare paid $4,379 for services to 63 patients in 2024.
Overview
| NPI | 1073959193 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD,CDE,LD |
| Sole proprietor | Yes |
| NPI issued | May 15, 2013 |
| Last updated in NPPES | May 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | D-156 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 124 across 2 procedure codes |
| Paid by Medicare | $4,379 |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Saint Alphonsus Regional Medical Center IncBoise, ID · 680 clinicians
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