STACEY ANN VANDERWEL (NPI# 1629231683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629231683 |
| Entity Type | Individual |
| Full Name | STACEY ANN VANDERWEL |
| Credential | RD, CSP, LDN |
| Practice Address |
505 East Blvd Suite 200 Charlotte NC 28203-5105 |
| Mailing Address |
7225 Deloach Ct Charlotte NC 28270-9514 |
| Practice Telephone | 7045422512 |
| Mailing Telephone | 7043401604 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
L002810 | NC | Dietary & Nutritional Service Providers |
| Street Address |
505 EAST BLVD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134145899 | Shauna H Christensen-peterson | Chiropractor | 505 East Blvd, Suite 100, Charlotte, NC 28203 | 2006-07-15 |
| 1417187501 | Stephanie Hall | Acupuncturist | 505 East Blvd, Suite 200, Charlotte, NC 28203-5105 | 2009-07-22 |
| 1689847808 | Shauna H. Christensen Chiropractic, Inc. | Chiropractor | 505 East Blvd, Suite 100, Charlotte, NC 28203-5105 | 2008-04-09 |
| 1063431419 | Susan Elizabeth Gessner | Social Worker | 505 East Blvd, Ste 200, Charlotte, NC 28203-5105 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487995486 | Lisa Mire | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2013-03-15 |
| 1023655677 | Holly Hirsch | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555160 | Angela Rutherford | Dietitian, Registered | 10207 Cerny St Ste 110, Raleigh, NC 27617-4880 | 2019-02-22 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1184027872 | Jennifer Fowler | Dietitian, Registered | 121 Arbor Dr, Washington, NC 27889-8720 | 2014-10-08 |
| 1144638495 | Shannon Ingalls Holton | Dietitian, Registered | 2403 Kay Rd, Greenville, NC 27858-9541 | 2014-07-31 |
| 1568768620 | Lisa D Wright | Dietitian, Registered | 649 46th Avenue Dr Ne, Hickory, NC 28601-7318 | 2011-02-07 |
| 1972670388 | Tanya Daniella Melton | Dietitian, Registered | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2006-11-29 |
| 1336190628 | Barbara Andresen | Dietitian, Registered | 3447 Robinhood Rd, Suite 209, Winston Salem, NC 27106-4791 | 2006-05-12 |
| 1548887177 | Sarah Gregory | Dietitian, Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-06-30 |
| 1730611815 | Katherine Rooney | Dietitian, Registered | 4555 Ogburn Ave, Winston Salem, NC 27105-2726 | 2017-03-29 |
| 1437603743 | Melissa Johnson Moses | Dietitian, Registered | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-08-04 |
| Find all providers with the same taxonomy | ||||
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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.