P Praxis·MD
● Active Type 1 · Individual

Elisabeth Stephens, RD

Dietitian, Registered·Mountain Home, ID· NPI 1639876345 · Enumerated 2023 · 3 years on NPI
Stephens is 1 of 5 dietitian, registered providers in Mountain Home and 1 of 505 in Idaho.
NPI age
3 years
Enumerated 2023-02-13
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-20
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
3 years
↓ 4 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

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
805 N 6th E
Mountain Home, ID 836472207
📞 2085872450fax 2085872451
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 2088147212

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-1463 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 4 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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