Provider Demographics
NPI:1265070403
Name:LEVIN, RHONE MERI (RDN, CSO)
Entity type:Individual
Prefix:MS
First Name:RHONE
Middle Name:MERI
Last Name:LEVIN
Suffix:
Gender:F
Credentials:RDN, CSO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6241
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:520 S EAGLE RD STE 1223
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-6355
Practice Address - Country:US
Practice Address - Phone:208-706-5260
Practice Address - Fax:208-706-5855
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83949133N00000X, 133VN1301X
IDD-567133VN1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology
No133N00000XDietary & Nutritional Service ProvidersNutritionist