Mary Ann Stoddard, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1340 Issued in KY

Practice address

1301 Clear Springs Trce
Louisville, KY 40223-3855

Phone

(502) 365-4627

Fax

(502) 365-4629

NPI assigned

Mar 13, 2021

Last updated

Mar 13, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1174108955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SPRINGSIDE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233786",
            "telephone_number": "502-939-4465",
            "fax_number": "502-365-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CLEAR SPRINGS TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233855",
            "telephone_number": "502-365-4627",
            "fax_number": "502-365-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Robert Stocksdale
• Shiloh Ann Stocksdale, APRN
• Audrey Stockwell, PT
• Derek Stockwell, C.O.T.A
• Marcus F. Stoddard, MD
• Samuel H Stodghill, PSY.D
• Lisa Stoflet
• Lisa Stogner, RD, LD
• Nenad Stojiljkovic, MD
• Deborah Stoke, PHARMD

• Registered Dietitian in Louisville, KY
• Providers in Louisville, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.