Active NPI
Richard Stem, RD, LDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1194194118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004728
- Practice address
- 804 Salem Woods Dr Ste 202
Raleigh, NC 27615-3343 - Phone
- (919) 322-0213
- Fax
- (704) 972-0639
- NPI assigned
- Sep 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004728 | NC | Primary |
Addresses
Primary practice location
804 Salem Woods Dr Ste 202
Raleigh, NC 27615-3343
Mailing address
4713 Delta Lake Dr
Raleigh, NC 27612-7013
Phone (919) 308-9397
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004728 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1194194118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4713 DELTA LAKE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276127013",
"telephone_number": "919-308-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SALEM WOODS DR STE 202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153343",
"telephone_number": "919-322-0213",
"fax_number": "704-972-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEM",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.