MRS. TRACY STOVER STAM (NPI# 1477924678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477924678 |
| Entity Type | Individual |
| Full Name | MRS. TRACY STOVER STAM |
| Other Name | MRS. TRACY S. STAM |
| Credential | RDN |
| Practice Address |
11120 Tamarron Pl Parker CO 80138-3116 |
| Practice Telephone | 3037174391 |
| Mailing Telephone | 3037174391 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
819174 | Dietary & Nutritional Service Providers |
| Street Address |
11120 TAMARRON PL |
| City | PARKER |
| State | CO |
| Zip Code | 80138-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134563208 | Kimberly Tichota | Dietitian, Registered | 3080 S Pearl St, Englewood, CO 80113-1642 | 2013-04-19 |
| 1003114174 | Rocky Mountain Pediatric Nutrition LLC | Dietitian, Registered | 1776 S Jackson St, Suite 1007, Denver, CO 80210-3801 | 2011-03-14 |
| 1235302993 | Catherine Michelle Santangelo | Dietitian, Registered | 1260 S York St, Denver, CO 80210-1913 | 2008-04-02 |
| 1760652465 | Judy Marie Lafler Converse | Dietitian, Registered | 1150 Maxwell Ave, Boulder, CO 80304-4185 | 2008-03-10 |
| 1164643516 | Ann Kurene Young | Dietitian, Registered | 1780 S Bellaire St Ste 515, Denver, CO 80222-4326 | 2007-05-02 |
| 1770607699 | Kim Oberist Milano | Dietitian, Registered | 1650 Cochrane Cir # B7500, Fort Carson, CO 80913-4603 | 2007-03-17 |
| 1225175516 | Karen Evonne Wilson | Dietitian, Registered | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2007-01-30 |
Please comment or provide details below to improve the information on MRS. TRACY STOVER STAM.
| 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.