Stephanie Willoughby, FDN-P

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

303 Anacua Loop
Manchaca, TX 78652-3512

Phone

(512) 297-1603

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Cox Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1154041374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ANACUA LOOP",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523512",
            "telephone_number": "512-297-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ANACUA LOOP",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523512",
            "telephone_number": "512-297-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "STEPHANIE",
        "credential": "FDN-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "COX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christi Vanderbilt, LPC-A
• Charlyn L Watson, LPC
• Bianelly Valdez Welch
• Parker White, MSN, APRN, FNP-C
• Jennifer Wible, RD
• Barbara Elaine Wilson Clay, BSED IBCLC
• Nina Renee Wolf, LPC INTERN
• Sandra Joyce Woods, LPC
• Kathryn Wristen, LMSW
• Cheryl Zinn

• Health Educator in Manchaca, TX
• Providers in Manchaca, TX by specialty
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.