Nathene Lynne Stark, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000000603 Issued in TN

Practice address

1030 Jefferson Ave
N&FS (120)
Memphis, TN 38104-2127

Phone

(901) 523-8990

Fax

(901) 577-7413

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063422780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 DEXTER RUN CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168754",
            "telephone_number": "901-753-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "address_2": "N&FS (120)",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "901-523-8990",
            "fax_number": "901-577-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "NATHENE",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000000603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN/NUTRIT",
            "identifier": "LDN0000000603",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTED DIETITIAN",
            "identifier": "447145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Stapel
• Ronald Carlton Staples, D.D.S.
• Theresa B Stapleton, BS
• Glenda R Stark, LMSW
• Madeline Gail Wurst Stark
• Starlight ABA TN LLC
• Sherika Ilean Starnes-Patterson, RBT M.ED
• Deborah Starr
• Richard Starr
• State of Tennessee

• Registered Dietitian in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Dietitian in Tennessee

• 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.

Verify at the official NPI Registry.