Individual provider · Type 1 NPI

Elisabeth Stephens, RD

Registered Dietitian · Mountain Home, ID

NPI number 1639876345 Active

Practice location

805 N 6th E
Mountain Home, ID 83647-2207

Fax (208) 587-2451

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 801 Pole Line Rd W Rm H1155, Twin Falls, ID 83301-5810 · (208) 814-1016

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD-1463 (ID)
Registered Dietitian 133V00000XNone listed

Registered Dietitian: 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 applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

3 other providers at this address

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About NPI 1639876345

Elisabeth Stephens, RD's National Provider Identifier is 1639876345, issued on Feb 13, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Mountain Home, ID. The record was last updated on Aug 20, 2025.