Individual provider Active NPI

Stephanie Eckelkamp, RD

  • Registered Dietitian
  • Allentown, PA
National Provider Identifier
1003624347
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN008814 Issued in PA
Practice address
1243 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6249
Phone
(610) 402-3422
Fax
(610) 402-4712
NPI assigned
Dec 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN008814 PA Primary

Addresses

Primary practice location

1243 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6249

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203003712 PA Practitioner - Registered Dietitian Or Nutrition Professional 2163952383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1243 S Cedar Crest Blvd
2800 LVPG Endocrinology
Allentown, PA 18103-6230
Phone (610) 402-6790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Eckelkamp Nutrition LLC Dietitian, Registered Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2025 Accepting new patients

Locations

1243 S Cedar Crest Blvd
Ste 2800
Allentown, PA 18103
Phone (610) 402-6790

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1243 S Cedar Crest Blvd
Ste 2400
Allentown, PA 18103
Phone (610) 395-3356

Networks

  • TX HMO D-SNP
  • TX HMO

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1003624347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S CEDAR CREST BLVD STE 2400",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036249",
            "telephone_number": "610-402-3422",
            "fax_number": "610-402-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKELKAMP",
        "first_name": "STEPHANIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.