P Praxis·MD
● Active Type 1 · Individual

Shalissa Marie Tomkinson, RD

Dietitian, Registered·Twin Falls, ID· NPI 1063288892 · Enumerated 2023 · 2 years on NPI
Tomkinson is 1 of 31 dietitian, registered providers in Twin Falls and 1 of 505 in Idaho.
NPI age
2 years
Enumerated 2023-12-01
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 505 active dietitian, registered providers in Idaho.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-12Enumerated in NPPES
2023 2026

Where they practice

Practice location
725 Pole Line Rd W
Twin Falls, ID 833015800
📞 2088141600fax 2088141910
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
801 Pole Line Rd W Rm H1155
Twin Falls, ID 833015810
📞 2088141016fax 2088141931

Specialties

  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    ID license #D-1600 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.

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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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