STACY D PETERS


Address: 4810 N Loop 289, Lubbock, TX 79416-3025
Phone: 8064725325

STACY D PETERS (NPI# 1407012321) 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) 1407012321
Entity Type Individual
Full Name STACY D PETERS
Credential M.S., R.D., L.D.
Practice Address 4810 N Loop 289
Lubbock
TX 79416-3025
Mailing Address 1805 79th Pl
Lubbock
TX 79423-2409
Practice Telephone 8064725325
Practice Fax Number 8066877778
Mailing Telephone 8064703489
Mailing Fax Number 8066877778
Enumeration Date 2008-07-30
Last Update Date 2008-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered LD0639 NM Dietary & Nutritional Service Providers
Y 133V00000X Dietitian, Registered DT07584 TX Dietary & Nutritional Service Providers

Other Providers STACY PETERS

NPI Name Taxonomy Address Enumeration
1912497876 Stacy Peters Speech-Language Pathologist 739 Jeffco Blvd, Arnold, MO 63010-1432 2018-05-16
1609097179 Stacy Ann Peters Student in an Organized Health Care Education/Training Program 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 2007-05-01
1275604845 Stacy Peters Occupational Therapist 1545 E Pythian St, Springfield, MO 65802-2139 2006-11-13

Office Location

Street Address 4810 N LOOP 289
City LUBBOCK
State TX
Zip Code 79416-3025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902855653 Lhh Emergency Physicians Pllc Emergency Medicine 4810 N Loop 289, Lubbock, TX 79416-3025 2006-05-09
1275993479 Libra Emergency Physicians, Pllc Physician Assistant 4810 N Loop 289, Lubbock, TX 79416-3025 2016-03-01
1417248881 Cardiovascular Specialists of Texas, P.a Internal Medicine 4810 N Loop 289, Lubbock, TX 79416-3025 2011-04-20
1407903586 Lubbock Heart Hospital General Acute Care Hospital 4810 N Loop 289, Lubbock, TX 79416-3025 2007-01-04
1801848346 Karen Agler Emergency Medicine 4810 N Loop 289, Lubbock, TX 79416-3025 2006-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710502174 Jordan Lane Thompson Pharmacist 6313 4th Street, Lubbock, TX 79416 2020-06-11
1821636481 Chieh-an Chou Specialist/Technologist 201 N Winston Ave, Lubbock, TX 79416 2019-12-13
1790341949 Michael Mcpherson, M.d. P.a. Internal Medicine 5406 Colgate St, Lubbock, TX 79416 2019-05-14
1154893675 South Plains Rehabilitation Hospital, LLC Rehabilitation Hospital 5406 Colgate Street, Lubbock, TX 79416 2018-12-21
1932697182 Timothy Sampana Student in an Organized Health Care Education/Training Program 5217 Lehigh St, Lubbock, TX 79416 2018-04-24
1306347711 4th Street Dental, Pllc Dentist 5709 4th St, Lubbock, TX 79416 2018-02-22
1639682503 South Plains Surgery Center LLC Clinic/Center 4412 6th Street, Lubbock, TX 79416 2017-11-14
1013459809 Isabel Garcia Occupational Therapy Assistant 1717 Northfolk Ave, #a, Lubbock, TX 79416 2016-11-09
1033589213 Rehab Care Skilled Nursing Facility 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 2015-10-01
1902281306 Carrillon Clinic/Center 1717 Norfold Bld A, Lubbock, TX 79416 2015-07-27
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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
1265078372 Kaitlin Pharis Smith Dietitian, Registered 3004 50th St Ste A, Lubbock, TX 79413-4129 2019-11-24
1467095513 Sophia Maria Martinez Dietitian, Registered 6104 Avenue Q, Lubbock, TX 79412-3506 2019-10-22
1205331998 Lauren Blechle Dietitian, Registered 3615 19th St Bldg 17, Lubbock, TX 79410-1203 2018-03-26
1003357518 Emmy Lu Henley Dietitian, Registered 6520 University Ave, Suite 5, Lubbock, TX 79413 2017-03-16
1730635129 Katy Rebecca-franklin Poff Dietitian, Registered 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 2016-08-26
1639531254 Lori Ann Boyd Dietitian, Registered 2412 50 Th Street, Lubbock, TX 79412 2016-03-23
1972918126 Premier Nutrition Consulting, LLC Dietitian, Registered 2907 Bates St, Lubbock, TX 79415-2646 2014-06-26
1790199248 Tiffany Ann Quevedo Dietitian, Registered 3008 55th St, Lubbock, TX 79413-4802 2014-06-12
1326486549 Amy Ashmore Dietitian, Registered 602 Indiana Ave # 5980, Lubbock, TX 79415-3364 2013-06-10
1952672578 Brooksgate Inc. Dietitian, Registered 6829 6th St, Lubbock, TX 79416-3769 2012-01-13
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Competitor

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City LUBBOCK
Zip Code 79416

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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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