Sandy Kipp Rdn LLC
NPI 1164030755ActiveOrganization· Dietitian, Registered· Nampa, ID
Dietitian, Registered in Nampa, Idaho, registered in NPPES in July 2020. The authorized official on file is Sandra Kipp, RDN, Owner/Dietitian. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164030755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2020 |
| Last updated in NPPES | Dec 6, 2023 |
| Certified by provider | Dec 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (ID) |
|---|
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