Mrs. Stacey Koekkoek, MS RD, LDN, LMHC
Dietitian, Registered in Wayland, Massachusetts
1982898177- Practice location
- 260 Boston Post RD, Wayland, MA 01778-1889
- Phone
- 508-276-1743
- Fax
- —
- Last updated
- April 4, 2017
Stacey Koekkoek is a Dietitian, Registered based in Wayland, MA. Stacey Koekkoek practices in Wayland, MA and has the professional credentials of MS RD, LDN, LMHC. The NPI Number for Stacey Koekkoek is 1982898177 and holds a License No. 2606 (MA). The current practice location address for Stacey Koekkoek is 260 Boston Post RD, Wayland, MA 01778-1889 and can be reached out via phone at 508-276-1743.
Provider Profile Details
- NPI Number
- 1982898177
- Provider Name
- Stacey Koekkoek
- Credential
- MS RD, LDN, LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 260 Boston Post RD, Wayland, MA 01778-1889
- Phone Number
- 508-276-1743
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 30, 2007
- Last Update Date
- April 4, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 260 Boston Post RD
Wayland, MA 01778-1889 - City
- Wayland
- State
- Massachusetts
- Zip
- 01778-1889
- Phone Number
- 508-276-1743
Provider Business Mailing Address Details
- Address
- 260 Boston Post RD
Suite 11
Wayland, MA 01778-1889 - City
- Wayland
- State
- MA
- Zip
- 01778-1889
- Phone Number
- 508-276-1743
License Information
- License Number
- 2606
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Stacey Koekkoek, MS RD, LDN, LMHC?
The NPI number of Mrs. Stacey Koekkoek, MS RD, LDN, LMHC is 1982898177. It was assigned on August 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Stacey Koekkoek, MS RD, LDN, LMHC?
Mrs. Stacey Koekkoek, MS RD, LDN, LMHC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2606.
Where does Mrs. Stacey Koekkoek, MS RD, LDN, LMHC practice?
The practice location is 260 Boston Post RD, Wayland, MA 01778-1889. The office can be reached at 508-276-1743 (phone).
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 1982898177 directly on the NPPES registry website.