STACIE LEAHY (NPI# 1750748646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750748646 |
| Entity Type | Individual |
| Full Name | STACIE LEAHY |
| Practice Address |
135 S Gibson St Medford WI 54451-1622 |
| Mailing Address |
35669 50th Ave Stanley WI 54768-6163 |
| Practice Telephone | 7157488100 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
135 S GIBSON ST |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437184827 | Stuart Gall | Nurse Anesthetist, Certified Registered | 135 S Gibson St, Medford, WI 54451-1622 | 2006-07-12 |
| 1720631831 | Sara Jayne Stieber | Physician Assistant | 135 S Gibson St, Medford, WI 54451-1622 | 2019-07-17 |
| 1942766407 | Kerry A Lingen | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2019-02-20 |
| 1578031035 | Sheala Rae Pinter | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2018-11-02 |
| 1770067357 | Haley Erl | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2018-09-20 |
| 1265954481 | Lauren Allyson King | Speech-Language Pathologist | 135 S Gibson St, Medford, WI 54451-1622 | 2017-07-10 |
| 1467905828 | Lori Wernham | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2016-08-02 |
| 1689062721 | Caroline T Nowak | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451 | 2014-12-23 |
| 1124430681 | Samantha Lang | Occupational Therapist | 135 S Gibson St, Medford, WI 54451-1622 | 2014-06-02 |
| 1861701450 | Aspirus Doctors Clinic, Inc | Clinic/Center | 135 S Gibson St, Medford, WI 54451-1622 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| 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 |
|---|---|---|---|---|
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1043855430 | Brittany Lauren Berger | Dietitian, Registered | 0 Governors Ave Ste 2, Medford, MA 02155-3037 | 2019-11-09 |
| 1720435183 | Sarah Leib | Dietitian, Registered | 1 New Kent Ct, Medford, NJ 08055-8618 | 2016-05-16 |
| 1154694768 | Christine Morrell | Dietitian, Registered | 1100 East Main Street, Medford, OR 97504 | 2012-02-13 |
| 1063793495 | Laura Ruth Winters | Dietitian, Registered | 760 Golf View Drive, Suite # 200, Renal Care Consultants PC, Medford, OR 97504 | 2011-08-30 |
| 1598092389 | Elizabeth Backer Amisson | Dietitian, Registered | 53 S Main St Ste 2f, Medford, NJ 08055-2442 | 2009-11-16 |
| 1295827103 | Lynn P Hillery | Dietitian, Registered | 76 Southaven Ave Ste 2, Medford, NY 11763-3745 | 2006-09-28 |
| 1164430518 | Susan L Spiva | Dietitian, Registered | 825 E Main St Ste C, Medford, OR 97504-7171 | 2006-08-03 |
| 1861415564 | Jennifer L Canganelli | Dietitian, Registered | 2900 E Barnett Rd Ste 2, Medford, OR 97504-8380 | 2006-07-25 |
| 1083653471 | Mary K Stansell | Dietitian, Registered | 221 Stewart Avenue, Suite #101, Medford, OR 97501-3609 | 2006-06-04 |
| Find all providers in MEDFORD | ||||
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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.