Active NPI
Stephenie Dee Lords, RD, LD, CDCES
- Registered Dietitian
- Blackfoot, ID
National Provider Identifier
1295617249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-660
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1799 - Phone
- (208) 785-3867
- Fax
- (208) 782-3981
- NPI assigned
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-660 | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1799
Mailing address
2811 Hawkweed St
Pocatello, ID 83204-3651
Phone (205) 681-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-660 | ID | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1295617249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 HAWKWEED ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832043651",
"telephone_number": "205-681-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211799",
"telephone_number": "208-785-3867",
"fax_number": "208-782-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORDS",
"first_name": "STEPHENIE",
"middle_name": "DEE",
"credential": "RD, LD, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.