Active NPI
Stacey Levine
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1235036658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 10622 Golden Willow Unit 125
San Diego, CA 92130-4930 - Phone
- (858) 668-9351
- NPI assigned
- Oct 20, 2026
- Last updated
- Oct 20, 2026
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
10622 Golden Willow Unit 125
San Diego, CA 92130-4930
Mailing address
502 Shanas LN
Encinitas, CA 92024-2435
Phone (818) 201-8768
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feeding Your Soul Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792454400000",
"number": "1235036658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 SHANAS LN",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242435",
"telephone_number": "818-201-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10622 GOLDEN WILLOW UNIT 125",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921304930",
"telephone_number": "858-668-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-20",
"last_updated": "2026-10-20",
"certification_date": "2026-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.