SHALISSA MARIE TOMKINSON RD
NPI 1063288892
Dietitian, Registered in Twin Falls, ID

Q: What is Shalissa Tomkinson's NPI number?

The NPI number for Shalissa Tomkinson is 1063288892. It was assigned to this individual provider in the NPPES registry on December 1, 2023.

Q: What is Shalissa Tomkinson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since December 01, 2023

725 POLE LINE RD W, TWIN FALLS, ID 83301(208) 814-1600(208) 814-1910 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shalissa Marie Tomkinson Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALISSA MARIE TOMKINSON RD (NPI 1063288892) is an individual dietitian, registered in Twin Falls, Idaho, licensed in Idaho (D-1600) and active in the NPI registry since December 2023. She maintains a secondary practice location in Twin Falls.

NPPES Registry Identity

NPI1063288892

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSHALISSA MARIE TOMKINSONCredential: RD

Location Address725 POLE LINE RD WTwin Falls, ID 83301-5800

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 814-1600

Fax(208) 814-1910

Sole ProprietorNo

Enumeration DateDecember 1, 2023

Last NPPES UpdateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1063288892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in ID · D-1600

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

725 POLE LINE RD W, Twin Falls, ID 83301

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Secondary Practice Location 1

Location 1801 Pole Line Rd W Rm H1155Twin Falls, ID 83301-5810 · Phone (208) 814-1016 · Fax (208) 814-1931

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER-LEIGH MASON LCSW

Social Worker (Clinical)