Active NPIIndividual provider

Miss Stacy A Medeiros, RD, LDN

Dietitian, Registered in Wareham, Massachusetts

NPI Number1912162678
Practice location
100 Rosebrook Way 3RD Floor, Wareham, MA 02571-1007
Fax
508-273-4901
Last updated
April 23, 2020

Stacy Amaral Medeiros is a Dietitian, Registered based in Wareham, MA. Stacy Amaral Medeiros practices in Wareham, MA and has the professional credentials of RD, LDN. The NPI Number for Stacy Amaral Medeiros is 1912162678 and holds a License No. 2744 (MA). The current practice location address for Stacy Amaral Medeiros is 100 Rosebrook Way 3RD Floor, Wareham, MA 02571-1007 and can be reached out via phone at 508-273-4900 and via fax at 508-273-4901.

Provider Profile Details

NPI Number
1912162678
Provider Name
Stacy Amaral Medeiros
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
100 Rosebrook Way 3RD Floor, Wareham, MA 02571-1007
Phone Number
508-273-4900
Fax Number
508-273-4901
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2008
Last Update Date
April 23, 2020
Certification Date
April 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Rosebrook Way 3RD Floor
Wareham, MA 02571-1007
Zip
02571-1007
Phone Number
508-273-4900
Fax Number
508-273-4901
Wareham, MA 02571Get directions →

Provider Business Mailing Address Details

Address
200 Mill Road Suite 180
Fairhaven, MA 02719-5252
City
Fairhaven
State
MA
Zip
02719-5252
Phone Number
508-973-2000
Fax Number
508-973-2001

License Information

License Number
2744
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dietitian, Registered providers near Wareham, MA

View all Dietitian, Registered providers in Wareham →

Frequently Asked Questions

What is the NPI number of Miss Stacy A Medeiros, RD, LDN?

The NPI number of Miss Stacy A Medeiros, RD, LDN is 1912162678. It was assigned on July 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Miss Stacy A Medeiros, RD, LDN?

Miss Stacy A Medeiros, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2744.

Where does Miss Stacy A Medeiros, RD, LDN practice?

The practice location is 100 Rosebrook Way 3RD Floor, Wareham, MA 02571-1007. The office can be reached at 508-273-4900 (phone) or 508-273-4901 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912162678 directly on the NPPES registry website.

Browse related providers