Active NPI
Stefanie Lynn Painter, DHED, RD, LD
- Registered Dietitian
- Hurricane, WV
National Provider Identifier
1154775229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 774
- Practice address
- 703 Emerald Dr
Hurricane, WV 25526-1080 - Phone
- (304) 546-9968
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 774 | WV | Primary |
Addresses
Primary practice location
703 Emerald Dr
Hurricane, WV 25526-1080
Mailing address
703 Emerald Dr
Hurricane, WV 25526-1080
Phone (304) 546-9968
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 774 | WV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1154775229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 EMERALD DR",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255261080",
"telephone_number": "304-546-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 EMERALD DR",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255261080",
"telephone_number": "304-546-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER",
"first_name": "STEFANIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DHED, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.