P Praxis·MD
● Active Type 1 · Individual

Kristina Stickley, RDN, LD, CHES

Dietitian, Registered·Idaho Falls, ID· NPI 1154944288 · Enumerated 2020 · 5 years on NPI
Stickley is 1 of 42 dietitian, registered providers in Idaho Falls and 1 of 505 in Idaho.
NPI age
5 years
Enumerated 2020-05-22
Primary specialty
Dietitian, Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-05-22
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
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-05Enumerated in NPPES
2020 2026

Where they practice

Practice location
3100 Channing Way
Idaho Falls, ID 834047533
📞 2085296111
Mailing address
3635 Silverstone Dr
Idaho Falls, ID 834013583

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-1127 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 240 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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