Individual provider Active NPI

Rachel Madison Crandall, RDN, LPC

  • Registered Dietitian
  • Rexburg, ID
National Provider Identifier
1710668355
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-1518 Issued in ID
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1381112IDMDProfessional Counselor
D-1518IDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.