Individual provider Active NPI

Stephanie Marie Pysher, M.S., R.D., L.D.

  • Registered Dietitian
  • Sterling, VA
National Provider Identifier
1093038697
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3069 Issued in MD
Practice address
46878 Trumpet Cir
Sterling, VA 20164-2382
Phone
(814) 935-9562
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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 DX3069 MD Primary

Addresses

Primary practice location

46878 Trumpet Cir
Sterling, VA 20164-2382

Mailing address

46878 Trumpet Cir
Sterling, VA 20164-2382
Phone (814) 935-9562

Other names 1

  • Ms. Stephanie Marie Lee Former name

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1093038697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46878 TRUMPET CIR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201642382",
            "telephone_number": "814-935-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46878 TRUMPET CIR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201642382",
            "telephone_number": "814-935-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYSHER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LEE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "M.S., R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.