Active NPI
Allison Heather Stetler, R.D. C.D.E.
- Registered Dietitian
- Lafayette, IN
National Provider Identifier
1003965245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001459A
- Practice address
- 1116 N 16TH St
Lafayette, IN 47904-2119 - Phone
- (765) 428-5850
- Fax
- (765) 428-5851
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37001459A | IN | Primary |
Addresses
Primary practice location
1116 N 16TH St
Lafayette, IN 47904-2119
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14085423 | Other | CAQH | |
| 000001209978 | Other | ANTHEM | |
| 300019321 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- IL PPO Downstate
- KY PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- OH PPO
- IL HMO C-SNP
- KY PPO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1003965245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 N 16TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042119",
"telephone_number": "765-428-5850",
"fax_number": "765-428-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETLER",
"first_name": "ALLISON",
"middle_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "R.D. C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37001459A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14085423",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001209978",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300019321",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.