Active NPI
Kyrstin Brianna Draney, RD
- Registered Dietitian
- Apex, NC
National Provider Identifier
1013424126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005343
- Practice address
- 3612 Colby Chase Dr
Apex, NC 27539-9056 - Phone
- (919) 391-0228
- Fax
- (888) 577-1874
- NPI assigned
- Jan 10, 2018
- 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 | L005343 | NC | Primary |
Addresses
Primary practice location
3612 Colby Chase Dr
Apex, NC 27539-9056
Mailing address
3612 Colby Chase Dr
Apex, NC 27539-9056
Phone (919) 391-0228
Other names 1
- Kyrstin Brianna Stalnaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 21, 2025 through Feb 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005343 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keeksandco | Dietitian, Registered | Current | Accepting new patients |
| LG Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1013424126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 COLBY CHASE DR",
"city": "APEX",
"state": "NC",
"postal_code": "275399056",
"telephone_number": "919-391-0228",
"fax_number": "888-577-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 COLBY CHASE DR",
"city": "APEX",
"state": "NC",
"postal_code": "275399056",
"telephone_number": "919-391-0228",
"fax_number": "888-577-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRANEY",
"first_name": "KYRSTIN",
"middle_name": "BRIANNA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYRSTIN",
"last_name": "STALNAKER",
"middle_name": "BRIANNA",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.