Stefanie Arblaster, RD
Individual provider Active NPI Registered Dietitian · Meadville, PA
NPI 1114795176 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1114795176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN008242 (PA)
- Practice address
- 18201 Conneaut Lake Rd
Meadville, PA 16335-3757 - Phone
- (814) 333-5061
- Fax
- (814) 333-5067
- NPI assigned
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206000250 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 9335582402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN008242 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadville Medical Center | Dietitian, Registered | Current | Accepting new patients |
| Meadville Medical Center | Current |
Accepting new patients | |
| Meadville Medical Center | Current |
Accepting new patients | |
| Meadville Medical Center | Past | Accepting new patients |
Locations
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
18201 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 333-5060
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN008242 | PA | Yes |
Addresses
Primary practice location
18201 Conneaut Lake Rd
Meadville, PA 16335-3757
Mailing address
1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5061
NPI Registry JSON
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1114795176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-333-5061",
"fax_number": "814-333-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18201 CONNEAUT LAKE RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353757",
"telephone_number": "814-333-5061",
"fax_number": "814-333-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBLASTER",
"first_name": "STEFANIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN008242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.