Bryan Stahlberg, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

15918 E Euclid Ave
Spokane Valley, WA 99216-1815

Phone

(509) 924-1826

NPI assigned

May 4, 2022

Last updated

May 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Health & Services - Washington

  dba Providence Infusion and Pharmacy Services

  • Home Infusion Therapy Pharmacy
  • Spokane Valley, WA
  • NPI 1710225271
  NPD
• Providence Health & Services - Washington

  dba Providence Infusion and Pharmacy Services

  • Home Infusion Therapy Pharmacy
  • Tukwila, WA
  • NPI 1285687749
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1174268064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E BRIDGEPORT AVE # B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15918 E EUCLID AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161815",
            "telephone_number": "509-924-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHLBERG",
        "first_name": "BRYAN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay St. Onge, PA-C
• Marcella Joy Day Staaben, DNP, ARNP
• Brandon Stack
• Kathryn Stadler
• Nathan Staggs
• Stephanie Staley, DDS
• Debra Kay Stanciu, ARNP
• Nathan Stanger, DNP-FNP
• Rachel Stankey, O.T.
• Jaedyn Rylee Starkey

• Registered Dietitian in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.