P Praxis·MD
● Active Type 1 · Individual

L. Elaine Niebaur, RD,CSR, LD

Dietitian, Registered·Pocatello, ID· NPI 1023240496 · Enumerated 2009 · 16 years on NPI
Niebaur is 1 of 1 dietitian, registered providers in Pocatello and 1 of 9 in Idaho.
NPI age
16 years
Enumerated 2009-08-18
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-08-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 9 active dietitian, registered providers in Idaho.

NPI age
16 years
↑ 2 yr above median (14 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES
2009 2026

Where they practice

Practice location
1522 Sod Farm Rd
Pocatello, ID 832047532
📞 2086371094fax 2086370750
Mailing address
1522 Sod Farm Rd
Pocatello, ID 832047532
📞 2086371094fax 2086370750

Specialties

  • Dietitian, Registered Primary
    An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies...
    ID license #D-009 taxonomy 133VN1005X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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