Provider Demographics
NPI:1679468698
Name:BECK, WHITNEY M (RDN, LD, CD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:M
Last Name:BECK
Suffix:
Gender:F
Credentials:RDN, LD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1864 N BECK RD
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-8521
Mailing Address - Country:US
Mailing Address - Phone:509-990-4764
Mailing Address - Fax:509-990-4764
Practice Address - Street 1:1864 N BECK RD
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-8521
Practice Address - Country:US
Practice Address - Phone:509-990-4764
Practice Address - Fax:509-990-4764
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD-10204850133V00000X
WADI61017704133V00000X
IDD-987133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty