Staci Rae Kloster, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

196197 Issued in AK

Practice address

3909 Arctic Blvd Ste 101
Anchorage, AK 99503-5769

Phone

(907) 644-8446

NPI assigned

Jun 8, 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

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchorage Bariatrics, LLCGroup PAC ID 0042505018, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anchorage Bariatrics, LLC

  • Surgery Physician
  • Anchorage, AK
  • NPI 1174076822

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1174252779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 EAGLE RIVER RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778748",
            "telephone_number": "907-903-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 ARCTIC BLVD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035769",
            "telephone_number": "907-644-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTER",
        "first_name": "STACI",
        "middle_name": "RAE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "196197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Klingenstein, DDS
• Yael Miriam Shoshana Klionsky, M.D
• Mary Klix, MD
• William Klofkorn
• Klondike Medical Group, LLC
• Sharon Kay Klotz, OTR/L
• Monica Joan Klouda, PHARM.D.
• Rosanne Louise Klouda, LMT
• Matthew Kluckman, M.D.
• Jennifer A Kluever, OT

• Registered Dietitian in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.