Individual provider Active NPI

Kathleen Stairiker, RD, LDN

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1053035071
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006613 Issued in PA
Practice address
210 Athens Way Ste 200
Nashville, TN 37228-1308
Phone
(610) 938-2888
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 DN006613 PA Primary

Addresses

Primary practice location

210 Athens Way Ste 200
Nashville, TN 37228-1308

Mailing address

210 Athens Way Ste 200
Nashville, TN 37228-1308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110000016 PA Practitioner - Registered Dietitian Or Nutrition Professional 1850761867 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN006613PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince May 20, 2024 Accepting new patients
Evergreen Nephrology of the Midwest, PLLC Dietitian, Registered CurrentSince Apr 10, 2024 Accepting new patients
Clinical Renal Associates, LLC CurrentSince Sep 28, 2022 Accepting new patients
Evergreen Nephrology PLLC Dietitian, Registered CurrentSince Aug 3, 2025 Accepting new patients
University of Penn - Medical Group CurrentSince May 20, 2024 Accepting new patients

Locations

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

30 Medical Center Blvd
Ste 303
Chester, PA 19013

825 Town Center Dr
Ste 152
Langhorne, PA 19047
Phone (215) 741-3510

PO B0x 824320
Philadelphia, PA 19182

196 W Sproul Rd
Ste 207
Springfield, PA 19064
Phone (610) 328-2100

210 Athens Way
Ste 200
Nashville, TN 37228
Phone (833) 633-1290

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

Organizations & group practices 6

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1053035071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ATHENS WAY STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ATHENS WAY STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281308",
            "telephone_number": "610-938-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIRIKER",
        "first_name": "KATHLEEN",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.