Brooke Dipoma Bouwhuis, RDN
NPI 1457063034ActiveIndividual· Dietitian, Registered· Kaysville, UT
Dietitian, Registered (RDN) with Tanner Memorial Clinic, practicing in Kaysville, Utah. Medicare paid $1,687 for services to 11 patients in 2024.
Overview
| NPI | 1457063034 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | Yes |
| NPI issued | Dec 15, 2022 |
| Last updated in NPPES | Dec 15, 2022 |
| Certified by provider | Dec 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 865063 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 60 across 2 procedure codes |
| Paid by Medicare | $1,687 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Tanner Memorial ClinicRoy, UT · 245 clinicians
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