Sierra Jeneal Stamm, RD CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI 60058984 Issued in WA

Practice address

4208 198TH St SW
101B
Lynnwood, WA 98036-6735

Phone

(425) 210-8016

NPI assigned

Oct 19, 2010

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1225348642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13619 MUKILTEO SPEEDWAY",
            "address_2": "STE D5 #172",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871626",
            "telephone_number": "425-210-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 198TH ST SW",
            "address_2": "101B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366735",
            "telephone_number": "425-210-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMM",
        "first_name": "SIERRA",
        "middle_name": "JENEAL",
        "credential": "RD CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60058984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "964668",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH DIETICIAN CERTIFICATION",
            "identifier": "DI 60058984",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Mojica St Hilaire
• Cheryl Ann St Sauver
• Catherine E. Stafford, BA, MSW, LCSW
• David E Stage, MD
• Lloyd Edwin Stambaugh III, MD
• Savannah TV Stanciel, LSWAIC
• Adam Lynn Standley
• Stanley D Borish MD Inc PS
• Jennifer Lynn Stanley, LMT
• Debra Anne Stark

• Registered Dietitian in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.