Active NPI
Stefanie Quinn Bennett, M.S., R.D.
- Registered Dietitian
- Wenatchee, WA
National Provider Identifier
1154780658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60610909
- Practice address
- 1201 S Miller St
Wenatchee, WA 98801-3201 - Phone
- (509) 662-1511
- NPI assigned
- Feb 12, 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 | DI60610909 | WA | Primary |
Addresses
Primary practice location
1201 S Miller St
Wenatchee, WA 98801-3201
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154780658 | Medicaid | WA | |
| P01674680 | Other | WA | RR PTAN WVH |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1154780658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MILLER ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013201",
"telephone_number": "509-662-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "STEFANIE",
"middle_name": "QUINN",
"credential": "M.S., R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-12",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60610909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154780658",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN WVH",
"identifier": "P01674680",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.