STEPHANIE NICOLE PUGH RDN
NPI 1528778933
Nutritionist in Twin Falls, ID

Active since November 28, 2022Accepts Medicare Assignment
801 POLE LINE RD W, TWIN FALLS, ID 83301(208) 814-1016(208) 814-1931 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2025, Nov 28, 2022 (2 updates tracked since 2022).

About Stephanie Nicole Pugh Rdn NPPES

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

STEPHANIE NICOLE PUGH RDN (NPI 1528778933) is an individual nutritionist in Twin Falls, Idaho, licensed in Idaho (D-1209) and active in the NPI registry since November 2022. She is affiliated with St Lukes Magic Valley Medical Center, maintains a secondary practice location in Twin Falls, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1528778933
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameSTEPHANIE NICOLE PUGHCredential: RDN
Location Address801 POLE LINE RD WTwin Falls, ID 83301-5810
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 814-1931
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 28, 2022
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1528778933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License Licensed in ID · D-1209
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
801 POLE LINE RD W, Twin Falls, ID 83301

Other Names 1

Former Name (1)Stephanie Nicole Fitzgerald

Secondary Practice Location 1

Location 11153 Terra AveTwin Falls, ID 83301-4734 · Phone (208) 607-5864

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Nicole Pugh Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365966959
PECOS Enrollment IDI20250404000358

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
801 POLE LINE RD W
TWIN FALLS, ID 83301
Social Worker
801 POLE LINE RD W
TWIN FALLS, ID 83301
Speech-Language Pathologist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Hospitalist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Nurse Anesthetist, Certified Registered
801 POLE LINE RD W
TWIN FALLS, ID 83301
Social Worker (Clinical)
801 POLE LINE RD W
TWIN FALLS, ID 83301
Occupational Therapist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Specialist/Technologist, Other (Surgical Assistant)
801 POLE LINE RD W
TWIN FALLS, ID 83301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Pugh's NPI number?

The NPI number for Stephanie Pugh is 1528778933. It was assigned to this individual provider in the NPPES registry on November 28, 2022. The provider is also known as Stephanie Nicole Fitzgerald.

Where is Stephanie Pugh located?

Stephanie Pugh practices at 801 Pole Line Rd W, Twin Falls, ID 83301. The listed phone number is (208) 814-1016.

What is Stephanie Pugh's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Stephanie Pugh enrolled in Medicare?

Yes. Stephanie Pugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Pugh accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Stephanie Pugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephanie Pugh affiliated with any hospitals?

According to CMS data, Stephanie Pugh is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Pugh was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.