Active NPI
Stephanie Larmour Sanders, MSRD
- Metabolic Nutrition Registered Dietitian
- Reseda, CA
National Provider Identifier
1174884555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Practice address
- 19214 Arminta St
Reseda, CA 91335-1107 - Phone
- (818) 398-1756
- Fax
- (818) 700-5684
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
19214 Arminta St
Reseda, CA 91335-1107
Mailing address
19214 Arminta St
Reseda, CA 91335-1107
Phone (818) 398-1756
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1174884555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19214 ARMINTA ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351107",
"telephone_number": "818-398-1756",
"fax_number": "818-700-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19214 ARMINTA ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351107",
"telephone_number": "818-398-1756",
"fax_number": "818-700-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "STEPHANIE",
"middle_name": "LARMOUR",
"name_prefix": "Ms.",
"credential": "MSRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.