IndividualActive
Staci Kidder, R.D.
NPI 1659612729 · Registered Dietitian · Boise, ID
Provider details
- NPI number
- 1659612729
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- License
- D-468 (ID)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5418 N Eagle Rd Ste 120
Boise, ID 83713-0103
Phone: (208) 939-1500
Fax: (208) 939-1510
Street-level locationGet directions
Mailing address
5418 N Eagle Rd Ste 120
Boise, ID 83713-0103
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2013-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.