Active NPI
Stacey Marie Canfield, RD, LDN
- Registered Dietitian
- Taylor, PA
National Provider Identifier
1043530306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004249
- Practice address
- 300 Pine St
Rear
Taylor, PA 18517-1122 - Phone
- (570) 677-7729
- NPI assigned
- Jun 9, 2010
- Last updated
- Nov 30, 2015
- 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 | DN004249 | PA | Primary |
Addresses
Primary practice location
300 Pine St
Rear
Taylor, PA 18517-1122
Mailing address
300 Pine Street
Rear
Taylor, PA 18517
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1043530306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PINE STREET",
"address_2": "REAR",
"city": "TAYLOR",
"state": "PA",
"postal_code": "18517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINE ST",
"address_2": "REAR",
"city": "TAYLOR",
"state": "PA",
"postal_code": "185171122",
"telephone_number": "570-677-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANFIELD",
"first_name": "STACEY",
"middle_name": "MARIE",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.