Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kaila Debenedetto, RDN

Individual provider Registered Dietitian · NPI 1790628154

Kaila Debenedetto, RDN is registered under Registered Dietitian OR Nutrition Professional in Boise, Idaho. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2026
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 381-7081
Fax: (208) 381-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 706-5437

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86445426 (ID)

Record details

NPI number1790628154
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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