Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Beazer, RDNLD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1053733428

Jennifer Beazer, RDNLD is a Pediatric Nutrition Registered Dietitian in Kalispell, Montana. Works from 2 locations. Licensed in Idaho and Montana.

Licensed in
ID, MT
In the registry since
2014
Specialties on file
4

Practice location Address checks out

202 Conway Dr Ste 200
Kalispell, MT 59901-3153
Phone: (406) 751-4188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Idaho St Ste 200, Boise, ID 83712-6270 — (208) 381-7081

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X · Licence 79779 (MT)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 79779 (MT)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence D470 (ID)
Pediatric Critical Care Nutrition Registered Dietitian Taxonomy 133VN1401X · Licence 79779 (MT)

Record details

NPI number1053733428
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDNLD
Sole proprietorNo
NPI enumeratedJanuary 20, 2014
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021