Individual provider Active NPI

Julie A Stamper, RD LD

  • Registered Dietitian
  • Rockwall, TX
National Provider Identifier
1104921311
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT00777 Issued in TX
Practice address
5028 Dowell Cir
Rockwall, TX 75032-7192
Phone
(972) 832-0366
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT00777 TX Primary
Pediatric Nutrition Registered Dietitian 133VN1004X DT00777 TX

Addresses

NPPES NPI Registry

Primary practice location

5028 Dowell Cir
Rockwall, TX 75032-7192

Mailing address

5028 Dowell Cir
Rockwall, TX 75032-7192
Phone (972) 832-0366

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
161872001MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2012.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1104921311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 DOWELL CIR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327192",
            "telephone_number": "972-832-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 DOWELL CIR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327192",
            "telephone_number": "972-832-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT00777",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT00777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161872001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.