Tarah L. Boerner, RD
NPI 1750574315ActiveIndividual· Dietitian, Registered· Coeur D Alene, ID
Dietitian, Registered (RD) in Coeur D Alene, Idaho, licensed in ID and WA, with an NPI issued in August 2007. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1750574315 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Aug 27, 2007 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | D-539 | ID |
| Dietitian, Registered | 133V00000X | DI61488828 | WA |
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 (WA) |
|---|
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