Joanna Kelley Davidson, M.S., R.D., L.D.
NPI 1154690543ActiveIndividual· Dietitian, Registered· Pocatello, ID
Dietitian, Registered (M.S., R.D., L.D.) in Pocatello, Idaho, licensed in ID, with an NPI issued in December 2011.
Overview
| NPI | 1154690543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., R.D., L.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 14, 2011 |
| Last updated in NPPES | Dec 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | D-333 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 16 registered dietitians in Pocatello · All registered dietitians in Idaho