Active NPI
Rachel Madison Crandall, RDN, LPC
- Registered Dietitian
- Rexburg, ID
National Provider Identifier
1710668355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-1518
- Practice address
- 859 S Yellowstone Hwy Ste 2201
Rexburg, ID 83440-5595 - Phone
- (208) 649-8300
- Fax
- (208) 684-2863
- NPI assigned
- Jul 27, 2023
- Last updated
- Sep 22, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-1518 | ID | Primary |
| Professional Counselor | 101YP2500X | 1381112 | ID |
Addresses
Primary practice location
859 S Yellowstone Hwy Ste 2201
Rexburg, ID 83440-5595
Mailing address
5635 Peters Way
Idaho Falls, ID 83404-8062
Phone (208) 716-8124
Other practice location 1
2235 E 25th St Ste 280
Idaho Falls, ID 83404-7543
Phone (208) 538-9633
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1381112 | ID | MD | Professional Counselor |
| D-1518 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Food Freedom Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Idaho Falls, ID
- NPI 1922415249
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1710668355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 PETERS WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048062",
"telephone_number": "208-716-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 S YELLOWSTONE HWY STE 2201",
"city": "REXBURG",
"state": "ID",
"postal_code": "834405595",
"telephone_number": "208-649-8300",
"fax_number": "208-684-2863"
}
],
"practiceLocations": [
{
"address_1": "2235 E 25th St Ste 280",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834047543",
"country_code": "US",
"telephone_number": "208-538-9633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANDALL",
"first_name": "RACHEL",
"middle_name": "MADISON",
"credential": "RDN, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-1518",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "1381112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
- Counseling & Treatment Center of Idaho, LLC
- County of Madison (Madison County Ambulance)
- County of Madison School District 321
- Covey and Smith LLC
- Abigail Dawn Crandall
- Cress Creek Counseling PLLC (Cress Creek Counseling)
- Cress Creek Counseling PLLC
- Cress Creek Healthcare LLC (Temple View Transitional Care Center)
- Bo Crofoot, DDS
- Marci Crook, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.