P Praxis·MD
● Active Type 1 · Individual

MRS. Tracy Bento, RD, CDCES, CSOWM

Dietitian, Registered·Eagle, ID· NPI 1134284045 · Enumerated 2006 · 19 years on NPI
Bento is 1 of 3 dietitian, registered providers in Eagle and 1 of 8 in Idaho.
NPI age
19 years
Enumerated 2006-12-22
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8 active dietitian, registered providers in Idaho.

NPI age
19 years
↑ 14 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
803 S Short Ln
Eagle, ID 836164122
📞 2089540862
Mailing address
803 S Short Ln
Eagle, ID 836164122
📞 2089540862

Specialties

  • Dietitian, Registered Primary
    An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of...
    CA license #949867 taxonomy 133VN1201X
  • Dietitian, Registered
    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...
    CA license #949867 taxonomy 133V00000X

Practice context

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

Recently enumerated nearby: 1 new dietitian, registered provider has been added in Eagle in the last 180 days. See all →
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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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