Nichole Laura Stahle, RDN, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

11056478-4901 Issued in UT

Practice address

1600 W Antelope Dr
Layton, UT 84041-1120

Phone

(801) 807-7179

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By 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

Other names 1

• Nichole Laura Littlefield Former name

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1174159123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N HILL FIELD RD UNIT D235",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415192",
            "telephone_number": "801-513-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411120",
            "telephone_number": "801-807-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHLE",
        "first_name": "NICHOLE",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "RDN, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "11056478-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "LITTLEFIELD",
            "middle_name": "LAURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Layton, UT
• Providers in Layton, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.