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

Stacy Beeson

Individual provider Registered Dietitian · NPI 1811310360

Stacy Beeson is a Registered Dietitian OR Nutrition Professional in Nampa, Idaho. Qualified in 1994, 32 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group and accepts Medicare assignment. Licensed in Colorado and Idaho.

Years since qualifying
32
Licensed in
CO, ID
In the registry since
2014
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9850 W St Lukes Dr Ste 327
Nampa, ID 83687-7912
Phone: (208) 331-1155
Fax: (208) 383-0190
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1071188 (ID)
Registered Dietitian Taxonomy 133V00000X · Licence 810997 (CO)

Record details

NPI number1811310360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2014
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 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 1994 (32 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Nampa