Individual provider Active NPI

Rebecca R Robinson, MS, RDN, LD

  • Registered Dietitian
  • Idaho Falls, ID
National Provider Identifier
1225830425
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
9771341 Issued in ID
Practice address
2327 Coronado St
Idaho Falls, ID 83404-7407
Phone
(208) 528-1000
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 9771341 ID Primary

Addresses

Primary practice location

2327 Coronado St
Idaho Falls, ID 83404-7407

Mailing address

2001 Lawrence LN Apt 503
Blackfoot, ID 83221-2960
Phone (208) 206-4504

Other practice location 1

326 Poplar St
Blackfoot, ID 83221-1741
Phone (208) 782-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118000395 ID Practitioner - Registered Dietitian Or Nutrition Professional 5698266625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Falls Community Hospital LLCGroup PAC ID 9032441597, 6 clinicians

Practice addresses (Care Compare)

2327 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 528-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9771341IDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Falls Community Hospital LLC CurrentSince Oct 1, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

3270 E 17th St
Ammon, ID 83406
Phone (208) 534-6568

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1225830425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAWRENCE LN APT 503",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212960",
            "telephone_number": "208-206-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-528-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Blackfoot",
            "state": "ID",
            "postal_code": "832211741",
            "country_code": "US",
            "telephone_number": "208-782-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "REBECCA",
        "middle_name": "R",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "9771341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.