NPI 1710668355 · live from the CMS NPI Registry
Rachel Madison Crandall, RDN, LPC
Dietitian, Registered in Rexburg, ID. National Provider Identifier 1710668355, active.
NPI record
| NPI | 1710668355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 859 S Yellowstone Hwy Ste 2201, Rexburg, ID 83440 |
| Practice phone | 208-649-8300 |
| Mailing address | 5635 Peters Way, Idaho Falls, ID 83404 |
| Enumerated | July 27, 2023 |
| Last updated | September 22, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1518 (ID) |
| Counselor, Professional | 101YP2500X | 1381112 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.