STACY BACK (NPI# 1457768699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457768699 |
| Entity Type | Individual |
| Full Name | STACY BACK |
| Credential | MS,RD,LD |
| Practice Address |
2441 S Highway 27 Somerset KY 42501-2935 |
| Practice Telephone | 6066774068 |
| Mailing Telephone | 6066774068 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1384 | KY | Dietary & Nutritional Service Providers |
| Street Address |
2441 S HIGHWAY 27 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235283987 | Alberto M. Jayme | General Practice | 2441 S Highway 27, Somerset, KY 42501-2935 | 2007-01-22 |
| 1235738642 | Jessica Michelle Lane | Physical Therapy Assistant | 2441 S Highway 27, Somerset, KY 42501-2935 | 2020-10-19 |
| 1730749789 | Kimberley Kavanaugh Goodloe | Psychologist | 2441 S Highway 27, Somerset, KY 42501-2935 | 2019-06-20 |
| 1205307675 | Alternative Health Solutions LLC | Nurse Practitioner | 2441 S Highway 27, Somerset, KY 42501-2935 | 2018-12-11 |
| 1558848291 | Karen Lynn Freund | Nurse Practitioner | 2441 S Highway 27, Somerset, KY 42501 | 2018-07-25 |
| 1841726817 | Bluegrass Oakwood | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2441 S Highway 27, Somerset, KY 42501-2935 | 2017-05-11 |
| 1396298113 | Jacob Powell | Behavioral Analyst | 2441 S Highway 27, Somerset, KY 42501-2935 | 2016-07-28 |
| 1740685759 | Lisa Stringer | Psychologist | 2441 S Highway 27, Somerset, KY 42501-2935 | 2014-11-03 |
| 1114322120 | Sandra Medley | Psychologist | 2441 S Highway 27, Somerset, KY 42501-2935 | 2014-11-03 |
| 1750786893 | Cindy Barker | Psychologist | 2441 S Highway 27, Somerset, KY 42501-2935 | 2014-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| 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 |
|---|---|---|---|---|
| 1194342519 | Joella Crowder | Dietitian, Registered | 15 Shannon Ln, Somerset, KY 42503-4958 | 2020-07-01 |
| 1346808722 | Alexa Essenfeld | Dietitian, Registered | 136 Saratoga Ct, Somerset, NJ 08873-7448 | 2019-05-31 |
| 1134604564 | Kaitlin Shay Costa | Dietitian, Registered | 441 Read St, Somerset, MA 02726-3048 | 2018-10-02 |
| 1356887236 | Ashley Homrich | Dietitian, Registered | 182 Enchanted Dr, Somerset, KY 42503-6247 | 2017-01-16 |
| 1124296363 | Julie Catherine Nash | Dietitian, Registered | 307 North Dr, Somerset, OH 43783-9555 | 2008-02-11 |
| 1932387735 | Linda Henderlight | Dietitian, Registered | 216 Poplar Ave, Somerset, KY 42503-1764 | 2008-02-04 |
| 1437274222 | Dona Howard | Dietitian, Registered | 3680 S Highway 27, Somerset, KY 42501-3016 | 2007-03-20 |
| 1548354822 | Girija Somayajula Ayyala | Dietitian, Registered | 59 Rue Chagall, Somerset, NJ 08873-6479 | 2006-10-03 |
| 1245863406 | Frances Marie Lechak | Dietitian, Registered | 225 S Center Ave, Somerset, PA 15501-2033 | 2020-02-17 |
| 1619473444 | Erin E Parmar | Dietitian, Registered | 51 Veronica Ave, Somerset, NJ 08873-3448 | 2018-04-02 |
| Find all providers in SOMERSET | ||||
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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.