GRACIE MICHELLE DULICK MS, RDN, CSP, LD
NPI 1194367128
Dietitian, Registered - Nutrition, Pediatric in Boise, ID

NPI Status: Active since October 10, 2019

Contact Information

190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-3421

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  • Individual
  • Female
  • Dietitian, Registered
  • Nutrition, Pediatric
  • Accepts Insurance

About GRACIE DULICK

This page provides the complete NPI Profile along with additional information for Gracie Dulick, a provider established in Boise, Idaho with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1194367128 assigned on October 2019. The practitioner's primary taxonomy code is 133VN1004X with license number D-1218 (ID). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1194367128
Provider Name
GRACIE MICHELLE DULICK MS, RDN, CSP, LD
Gender
Female
Entity Type
Individual
Location Address
190 E BANNOCK ST BOISE, ID 83712
Location Phone
(208) 381-3421
Mailing Address
3608 S WILLIAMSBURG WAY BOISE, ID 83706
Is Sole Proprietor?
No
Enumeration Date
10-10-2019
Last Update Date
05-11-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered Nutrition, Pediatric

Taxonomy Code
133VN1004X
Type
Dietary & Nutritional Service Providers
License No.
D-1218
License State
ID
Taxonomy Description
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for GRACIE MICHELLE DULICK MS, RDN, CSP, LD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194367128
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184661414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 6 + 6 + 1 + 4 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1194367128 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518969328MRS. TAMI MONICA STONE CPHT
Individual
Pharmacy Technician190 E BANNOCK ST
BOISE, ID 83712
(208) 381-4353
1427045434DR. MARIE ANN HETHERINGTON PHARMACIST
Individual
Pharmacist190 E BANNOCK ST EMPLOYEE OUTPATIENT PHARMACY
BOISE, ID 83712
(208) 381-4353
1518940501DR. SCOTT ALAN ROBISON PHARM D
Individual
Pharmacist190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2490
1114901006MS. JUDITH M PERRY NP
Individual
Nurse Practitioner (Family)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1295705002DR. ADAM S MAXFIELD M.D.
Individual
Radiology (Diagnostic Radiology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2094
1437109253 CHRISTOPHER GNADINGER MD
Individual
Emergency Medicine (Emergency Medical Services)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1932150976 LOUIS D VOULELIS MD
Individual
Anesthesiology190 E BANNOCK ST
BOISE, ID 83712
(208) 336-0895
1780635490 STEPHANIE BODES MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1437102050 RICHARD MACDONALD MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1477506350 DANIEL D RIRIE M.D.
Individual
Radiology (Diagnostic Radiology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2094
1477506236 KATHRYN KRAKKER NP
Individual
Nurse Practitioner190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1861446064 VALERIE A HOLST M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2367
1215981410 MARK E KIECKBUSCH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2367
1376597575 DANIEL J WALSH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2367
1114971256 KEVIN TIMMEL MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1174578025 AMY BARUCH MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1639124217 JAMES C TORRES II MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1346295045 NATHAN ANDREW MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1821035817 NEERAJ SONI MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1174560098 THOMAS SANDERSON MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194367128, enumerated in the NPI registry as an "individual" on October 10, 2019

The provider is located at 190 E Bannock St Boise, Id 83712 and the phone number is (208) 381-3421

The provider's speciality is Dietitian, Registered with taxonomy code 133VN1004X with a focus in Nutrition, Pediatric

The provider might be accepting Accepts: Moda Health Plan, Inc. and Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.