Kimberly Anne Landsberg, MS, RDN, LD
NPI 1629613989ActiveIndividual· Dietitian, Registered· Eagle, ID
Dietitian, Registered (MS, RDN, LD) with St Lukes Clinic-Treasure Valley LLC, practicing in Eagle, Idaho. Medicare paid $1,930 for services to 18 patients in 2024.
Overview
| NPI | 1629613989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RDN, LD |
| Sole proprietor | No |
| NPI issued | Nov 11, 2019 |
| Last updated in NPPES | Nov 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 809925 | VA |
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 | 18 |
|---|---|
| Services billed | 80 across 2 procedure codes |
| Paid by Medicare | $1,930 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
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