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

Kimberly Anne Landsberg, MS, RDN, LD

Individual provider Registered Dietitian · NPI 1629613989

Kimberly Anne Landsberg, MS, RDN, LD is a Registered Dietitian OR Nutrition Professional in Eagle, Idaho. Qualified in 1999, 27 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
27
Licensed in
VA
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

1488 N Sunup Way
Eagle, ID 83616-7023
Phone: (208) 559-8319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 809925 (VA)

Record details

NPI number1629613989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LD
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESNovember 11, 2019

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1999 (27 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

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