Elizabeth Thibodeau, DTR, ACE-CHC
Individual provider Active NPI Registered Dietetic Technician · Roundup, MT
NPI 1386431013 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1386431013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietetic Technician 136A00000X
- Practice address
- 236 Old Divide Rd
Roundup, MT 59072-6829 - Phone
- (907) 240-3267
- NPI assigned
- Apr 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cranberry Blossom Nutrition & Wellness, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Registered Dietetic Technician | 136A00000X | Yes |
Addresses
Primary practice location
236 Old Divide Rd
Roundup, MT 59072-6829
Mailing address
236 Old Divide Rd
Roundup, MT 59072-6829
Other providers in Roundup, MT
- William Scott Schroyer
- Shopko Stores Operating Co LLC
- Sylvia Rose Snider
- Brynn Stahl
- Sunflower Gardens Assisted Living, Inc
- Reah Ann Tobola
- Lindsay Walter
All providers in Roundup, MT · Registered Dietetic Technician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.