Active NPI
Allex Candra Stam, RD
- Registered Dietitian
- Matthews, NC
National Provider Identifier
1225607153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L0066006
- Practice address
- 1450 Matthews Township Pkwy Ste 110
Matthews, NC 28105-2388 - Phone
- (704) 316-7760
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- 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 | L0066006 | NC | Primary |
Addresses
Primary practice location
1450 Matthews Township Pkwy Ste 110
Matthews, NC 28105-2388
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other names 1
- Allex Snyder
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asnyder886977@direct.novanthealth.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0066006 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1225607153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 110",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052388",
"telephone_number": "704-316-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAM",
"first_name": "ALLEX",
"middle_name": "CANDRA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L0066006",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asnyder886977@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1450 Matthews Township Pkwy Ste 110",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281052388",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALLEX",
"last_name": "SNYDER",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Matthews, NC
- Michael A Spring, MS, ATC, DC
- Springhealth Behavioral Health and Integrated Care South Carolina, LLC
- Sprouts Nutrition LLC
- Janna Colleen Spurr, LCSW
- Stallings Emergency Physicians, PLLC
- Melanie Smalley Stanislawski, DO
- Ava Elisabeth Starnes
- Gary M. Starr, DDS
- Yesenia B Stavros, OTR/L
- Debra Steading, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.