STACIE D AUSTIN


Address: 1875 Fortune Rd, C/o Wic Nutrition Service Department, Kissimmee, FL 34744-4428
Phone: 1407343200

STACIE D AUSTIN (NPI# 1053868117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053868117
Entity Type Individual
Full Name STACIE D AUSTIN
Credential RDN LD
Practice Address 1875 Fortune Rd
C/o Wic Nutrition Service Department
Kissimmee
FL 34744-4428
Mailing Address 1875 Fortune Road
C/o Wic Nutrition Service Department
Kissimmee
FL 34744
Practice Telephone 1407343200
Mailing Telephone 1407343200
Enumeration Date 2016-09-07
Last Update Date 2016-09-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered ND7146 FL Dietary & Nutritional Service Providers

Office Location

Street Address 1875 FORTUNE RD
C/O WIC NUTRITION SERVICE DEPARTMENT
City KISSIMMEE
State FL
Zip Code 34744-4428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770547341 Asma Safder Pediatrics 1875 Fortune Rd, Kissimmee, FL 34744-4428 2006-04-12
1376093609 Primary Care Medical Services of Poinciana Clinic/Center 1875 Fortune Rd, Kissimmee, FL 34744-4428 2016-10-11
1487849600 Anna Michelle Harris Family Medicine 1875 Fortune Rd, Kissimmee, FL 34744-4428 2007-09-11
1023195898 Aixa Zila Garcia Family Medicine 1875 Fortune Rd, Kissimmee, FL 34744-4428 2006-11-01
1144272295 Radu Clincea Internal Medicine 1875 Fortune Rd, Kissimmee, FL 34744-4428 2006-05-17

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467098152 Tiana-marie Krystal Avendano Forero Dietitian, Registered 2618 Quarterdeck Ct, Kissimmee, FL 34743-6041 2019-11-18
1245631431 Kimble, Inc. Dietitian, Registered 5263 Images Cir, #106, Kissimmee, FL 34746-4756 2014-09-08
1043430853 Laurie Ellen Wenzel Dietitian, Registered 5263 Images Circle #106, Kissimmee, FL 34746 2007-04-26
1376609081 Kristin Elizabeth Leonberg Dietitian, Registered 802 N John Young Pkwy, Kissimmee, FL 34741-4912 2006-12-28
1598112856 Hedy Allyn Torres Dietitian, Registered 3185 W Vine St, Kissimmee, FL 34741-3738 2016-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1114527256 Jacquelyn Gabriela Baldeon Garo Dietitian, Registered 17701 Sw 112th Ave, Miami, FL 33157-5007 2020-10-28
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1023617446 Madisyn Becker Dietitian, Registered 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 2020-10-19
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Competitor

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City KISSIMMEE
Zip Code 34744

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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