Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisabeth Stephens, RD

Individual provider Registered Dietitian · NPI 1639876345

Elisabeth Stephens, RD is a Registered Dietitian OR Nutrition Professional in Mountain Home, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

805 N 6th E
Mountain Home, ID 83647-2207
Phone: (208) 587-2450
Fax: (208) 587-2451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-1463 (ID)
Registered Dietitian Taxonomy 133V00000X (ID)

Record details

NPI number1639876345
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mountain Home