Monique Idelette-Louw Stafford, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2510 Issued in SC

Practice address

1131 Saluda St
Rock Hill, SC 29730-5776

Phone

(803) 325-8742

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Monique Idelette Louw Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medicine FoundationGroup PAC ID 4880687490, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: monique.stafford.p1@direct.ncfmc.nextgenshare.com

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.

• Community Medicine Foundation

  dba North Central Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Rock Hill, SC
  • NPI 1528004918
  Medicare reassignment Care Compare group NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1194447250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 EBENEZER AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303539",
            "telephone_number": "864-423-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 SALUDA ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305776",
            "telephone_number": "803-325-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "MONIQUE",
        "middle_name": "IDELETTE-LOUW",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007003",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "LOUW",
            "middle_name": "IDELETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Inez Spatz
• Spring Arbor
• Alissa Sprinkle
• Bryanna Marjorie Spurlock-Bellor, NP
• Lauren Hull Stafford
• Riley Stahl, OD
• Marvin Alexander Stallworth
• Kelly A Stanar, M.A., CCC-SLP
• Auna Stanback
• Julianna Stanfield, R.N.

• Registered Dietitian in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.