STACY LYNN WELLMAN (NPI# 1114110905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114110905 |
| Entity Type | Individual |
| Full Name | STACY LYNN WELLMAN |
| Credential | MS RD LD |
| Practice Address |
500 Market St Grafton WV 26354-1184 |
| Practice Telephone | 3042656436 |
| Mailing Telephone | 3042656436 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 481 | WV | Dietary & Nutritional Service Providers |
| Street Address |
500 MARKET ST |
| City | GRAFTON |
| State | WV |
| Zip Code | 26354-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619254489 | John Eric Shaw | Physical Therapist | 500 Market St, Grafton, WV 26354-1184 | 2011-11-08 |
| 1477608727 | Grafton City Hospital Inc | Long Term Care Hospital | 500 Market St, Grafton, WV 26354-1184 | 2007-01-25 |
| 1336200344 | Grafton City Hospital Inc | Clinic/Center | 500 Market St, Grafton, WV 26354-1184 | 2006-12-13 |
| 1477653004 | James W Woodford | Family Medicine | 500 Market St, Grafton, WV 26354-1184 | 2006-09-24 |
| 1821195637 | Stephen L Harris | Physician Assistant | 500 Market St, Grafton, WV 26354-1184 | 2006-09-20 |
| 1700984473 | Joseph Hugo Duvert | Emergency Medicine | 500 Market St, Grafton, WV 26354-1184 | 2006-09-20 |
| 1346348026 | Charles M Paroda | Emergency Medicine | 500 Market St, Grafton, WV 26354-1184 | 2006-09-20 |
| 1891892626 | David Brian Bender | Family Medicine | 500 Market St, Grafton, WV 26354-1184 | 2006-09-20 |
| 1265539084 | Christopher Z Villaraza II | Family Medicine | 500 Market St, Grafton, WV 26354-1184 | 2006-09-20 |
| 1265535207 | Phyllis J Neer | Psychologist | 500 Market St, Grafton, WV 26354-1184 | 2006-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547383 | Ruth Fern Bucklew | Technician | 705 Fast Lane, Grafton, WV 26354 | 2020-10-29 |
| 1649878281 | Stephanie Hess | Technician | 207 Low Bridge Rd, Grafton, WV 26354 | 2020-10-15 |
| 1952814428 | Taylor Health Care Center, LLC | Skilled Nursing Facility | 2 Hospital Plaza, Grafton, WV 26354 | 2017-11-07 |
| 1477079432 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 98 North Pike Street, Grafton, WV 26354 | 2017-08-21 |
| 1205008323 | Nancy Hickman | Physical Therapist | 82 Utt Dr, Grafton, WV 26354 | 2008-03-28 |
| 1780860098 | Taylor County Board of Education | Local Education Agency (LEA) | 82 Utt Drive, Grafton, WV 26354 | 2008-01-16 |
| 1770795353 | Taylor County Emergency Squad | Ambulance | 797 George Washington Hwy., Grafton, WV 26354 | 2007-05-04 |
| 1841308541 | Preston-taylor Community Health Centers Incorporated | Clinic/Center | 711 N Pike St, Grafton, WV 26354 | 2006-08-25 |
| 1609398585 | Grafton Taylor County Health Department | Clinic/Center | 718 W Main St, Grafton, WV 26354 | 2017-07-12 |
| 1215458864 | John W Byers, Dds, Pllc | Advanced Practice Dental Therapist | 122 Yates Ave, Grafton, WV 26354 | 2017-07-05 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609042 | Melissa Powell | Dietitian, Registered | 727 Delaware Ave, Unit E, Grafton, WI 53024-9450 | 2012-08-29 |
| 1518005883 | Gloria Lou Pilczak | Dietitian, Registered | 39 Providence Rd, Grafton, MA 01519-1179 | 2007-02-01 |
| 1952835043 | Rondee Boe-feltman I | Dietitian, Registered | 164 W 13th St, Grafton, ND 58237-1826 | 2017-04-14 |
| 1790185239 | Abby West | Dietitian, Registered | 701 W 6th St, Grafton, ND 58237-1379 | 2014-09-03 |
| 1760804496 | Stephanie Whittaker | Dietitian, Registered | 1 Hospital Plz, Grafton, WV 26354-1283 | 2014-01-15 |
| 1740558030 | Amanda Kathryn Stinson | Dietitian, Registered | 215 Washington St, Grafton, WI 53024-1700 | 2011-12-01 |
| 1306087051 | Brenda K. Schroeder | Dietitian, Registered | 701 W 6th St, Grafton, ND 58237-1379 | 2009-03-10 |
| 1225279078 | Lori Ann Fingarson | Dietitian, Registered | 701 W 6th St, Grafton, ND 58237-1379 | 2009-03-07 |
| 1427103183 | Jane Myers | Dietitian, Registered | 164 W 13th St, Grafton, ND 58237 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403522 | Faith Cole | Dietitian, Registered | 6261 Rosalind Rd, Huntington, WV 25705-2335 | 2020-09-27 |
| 1851906523 | Emily Rodriguez | Dietitian, Registered | 800 Pennsylvania Ave # A, Charleston, WV 25302-3351 | 2020-09-10 |
| 1760092084 | Jessica C Walden | Dietitian, Registered | 1022 Nashmont Dr, Ona, WV 25545-9541 | 2020-08-02 |
| 1780205898 | Morgan Elizabeth Teeters | Dietitian, Registered | 217 Camden Cir Apt 307, Scott Depot, WV 25560-0049 | 2020-04-29 |
| 1932756269 | Angel Cunningham | Dietitian, Registered | 140 Main Ave Apt 24, Nitro, WV 25143-1277 | 2019-08-21 |
| 1912467721 | Catherine L Shaw | Dietitian, Registered | 274 New England Cir, Fairmont, WV 26554-7464 | 2019-03-20 |
| 1336621218 | Nutrition You, LLC | Dietitian, Registered | 287 Arbogast Ln, Morgantown, WV 26508-8811 | 2018-09-06 |
| 1134601453 | Rebecca Dattola | Dietitian, Registered | 600 Suncrest Town Centre Dr Ste 200, Morgantown, WV 26505-1873 | 2018-09-04 |
| 1619473048 | Megan Burrell | Dietitian, Registered | 37 Chestnut Dr, Beckley, WV 25801-7101 | 2018-04-04 |
| 1891297248 | Nutrisense Nutrition Consulting, LLC | Dietitian, Registered | 18 Meadow Lane, Scott Depot, WV 25560 | 2018-03-01 |
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| 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.