Kayla Marie Stooksbury, NUTRITION EDUCATOR

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

185 Justice Center Drive
Rutledge, TN 37861

Phone

(865) 828-5247

NPI assigned

Jan 31, 2019

Last updated

Jan 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD (past)
• State of Tennessee

  dba Grainger County Health Department

  • Public Health or Welfare Agency
  • Rutledge, TN
  • NPI 1982742821
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1235694563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 HINCHEY HOLLOW RD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377603516",
            "telephone_number": "865-828-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 JUSTICE CENTER DRIVE",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "37861",
            "telephone_number": "865-828-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOKSBURY",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "NUTRITION EDUCATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott K Roberts
• Sharon S Roberts
• Macey Rose
• Rutledge Medical Clinic Incorporated
• State of Tennessee (Grainger County Health Department)
• Debbie Stump, SLP-CCC
• Kolbi Tonkin
• Ashton Trent, RN
• Gretta French Vance, PHARMD

• Nutrition Education Nutritionist in Rutledge, TN
• Providers in Rutledge, TN by specialty
• Nutrition Education Nutritionist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.