NPI age
5 years
Enumerated 2021-05-18
● Active
Type 1 · Individual
Lisa Davis, RDN
Davis is 1 of 2 dietitian, registered providers in Malad City and 1 of 505 in Idaho.
Primary specialty
Dietitian, Registered
Licensed in
UT
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-18
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 · 2021 → 2026
2021-05Enumerated in NPPES
2021
2026
Where they practice
Practice location
5054 S 4600 W
Malad City, ID 832526551
Mailing address
5054 S 4600 W
Malad City, ID 832526551
Specialties
-
Dietitian, Registered PrimaryA 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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