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

Stephanie Lynn Henderson, RDLD

Individual provider Registered Dietitian · NPI 1528373313

Stephanie Lynn Henderson, RDLD is a Registered Dietitian in Blackfoot, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2010
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Practice location Address checks out

1555 Vernon Ave
Blackfoot, ID 83221
Phone: (307) 399-0139
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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 D-629 (ID)

Record details

NPI number1528373313
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLD
Sole proprietorYes
NPI enumeratedAugust 17, 2010
Last updated in NPPESJuly 7, 2011
Mailing address1555 Vernon Ave, Blackfoot, ID 83221-3050

Other providers in Blackfoot