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STACI M KIDDER R.D.
NPI 1659612729
Dietitian, Registered in Boise, ID

Active since March 13, 2013
5418 N EAGLE RD STE 120, BOISE, ID 83713(208) 939-1500(208) 939-1510 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Staci M Kidder R.d. NPPES

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

STACI M KIDDER R.D. (NPI 1659612729) is an individual dietitian, registered in Boise, Idaho, licensed in Idaho (D-468) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1659612729
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTACI M KIDDERCredential: R.D.
Location Address5418 N EAGLE RD STE 120Boise, ID 83713-0103
Mailing Address5418 N Eagle Rd Ste 120Boise, ID 83713-0103 · (208) 939-1500 · Fax (208) 939-1510
Phone(208) 939-1500
Fax(208) 939-1510
Sole ProprietorNo
Enumeration DateMarch 13, 2013
✔ NPI 1659612729 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-468
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.
5418 N EAGLE RD STE 120, Boise, ID 83713
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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 Staci Kidder's NPI number?

The NPI number for Staci Kidder is 1659612729. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Staci Kidder located?

Staci Kidder practices at 5418 N Eagle Rd Ste 120, Boise, ID 83713. The listed phone number is (208) 939-1500.

What is Staci Kidder's specialty?

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

When was this NPI record last updated?

The NPPES record for Staci Kidder was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.