Active NPI
Stefanie Williams, MA, RD, LDN
- Registered Dietitian
- Spring City, PA
National Provider Identifier
1093118705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005474
- Practice address
- 2898 Flowing Springs Rd
Spring City, PA 19475-9517 - Phone
- (484) 880-6987
- NPI assigned
- Oct 8, 2014
- Last updated
- Feb 1, 2021
- 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 | DN005474 | PA | Primary |
Addresses
Primary practice location
2898 Flowing Springs Rd
Spring City, PA 19475-9517
Mailing address
2898 Flowing Springs Rd
Spring City, PA 19475-9517
Phone (484) 880-6987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN005474 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporate Wellness Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Bala Cynwyd, PA
- NPI 1316257553
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1093118705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2898 FLOWING SPRINGS RD",
"city": "SPRING CITY",
"state": "PA",
"postal_code": "194759517",
"telephone_number": "484-880-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2898 FLOWING SPRINGS RD",
"city": "SPRING CITY",
"state": "PA",
"postal_code": "194759517",
"telephone_number": "484-880-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEFANIE",
"credential": "MA, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.