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NPISignal

Individual Healthcare Provider

Kody Michael Duclos, RD, LD

NPI Record: ActiveDietitian, Registered — Nutrition, Pediatric
NPI1033748124
Boise, Idaho

Provider's NPPES record last updated: April 2, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1033748124
Primary Specialty
Dietitian, Registered — Nutrition, Pediatric
Practice Location
Boise, Idaho
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:42 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dietitian, Registered

    Nutrition, Pediatric

    Dietary & Nutritional Service Providers

    Primary

    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.

    Taxonomy code 133VN1004X
  • Dietitian, Registered

    Nutrition, Oncology

    Dietary & Nutritional Service Providers

    An individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy or pre-malignant condition, in a variety of settings (e.g. hospitals, clinics, cancer centers, hospices, public health), OR indirectly through roles in management, education, industry, and research practice linked specifically to oncology nutrition. RDN who works indirectly with oncology nutrition through roles in management, education, industry, and research.

    Taxonomy code 133VN1301X
  • Dietitian, Registered

    Nutrition, Pediatric Critical Care

    Dietary & Nutritional Service Providers

    An individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for critically ill infants, children and adolescents. Additional roles could include coordination, education, quality improvement, or research linked specifically to pediatric critical care nutrition.

    Taxonomy code 133VN1401X

Provider-Reported License Information

Dietitian, Registered (Idaho)
86117056
Dietitian, Registered (Idaho)
86117056
Dietitian, Registered (Idaho)
86117056
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

305 E Jefferson St

Boise, Idaho 83712-6231

Phone: (208) 381-7081

Record Information

Enumeration Date
April 2, 2020
Provider's NPPES Record Last Updated
April 2, 2020
Certification Date
April 2, 2020
NPISignal NPPES Dataset
August 2026

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