ELIZABETH THIBODEAU DTR ACE-CHC NPI 1386431013

NPI Information

  • NPI: 1386431013
  • Provider Name: ELIZABETH THIBODEAU, DTR, ACE-CHC
  • Classification: Dietetic Technician, Registered - 136A00000X
  • Entity Type: Individual
  • Address: 236 OLD DIVIDE RD
    ROUNDUP, MT
    ZIP 59072
  • Phone: (907) 240-3267

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NPI Details

Elizabeth Thibodeau, DTR, ACE-CHC is a dietetic technician registered in Roundup, MT. The provider is a Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care. Elizabeth Thibodeau, DTR, ACE-CHC NPI is 1386431013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

236 OLD DIVIDE RD
ROUNDUP, MT
ZIP 59072-829
Phone: (907) 240-3267

The enumeration date for this NPI number is 4/24/2025 and was last updated on 4/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171400000XHealth and Wellness CoachNo
2136A00000XDietetic Technician, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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