Active NPI
Stefanie Marie Davis, R.D.
- Registered Dietitian
- Pasco, WA
National Provider Identifier
1013045533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 520 N 4TH Ave
Pasco, WA 99301-5257 - Phone
- (509) 542-3052
- Fax
- (509) 542-3053
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
520 N 4TH Ave
Pasco, WA 99301-5257
Mailing address
520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 542-3052
Other names 1
- Ms. Stefanie Mrie Frankovic
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Hospital LLC | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO
- WA PPO C-SNP
- TX HMO D-SNP
- IL PPO Downstate
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL HMO C-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013045533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N 4TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015257",
"telephone_number": "509-542-3052",
"fax_number": "509-542-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015257",
"telephone_number": "509-542-3052",
"fax_number": "509-542-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "STEFANIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "FRANKOVIC",
"middle_name": "MRIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.