Sally Jane Stegemann, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2005039286 Issued in MO

Practice address

3610 Buttonwood Dr
Suite 200
Columbia, MO 65201-3721

Phone

(573) 489-7997

NPI assigned

Oct 1, 2007

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 names 1

• Sally Jane Keller Former name

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1265629422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 KILLIAN CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 BUTTONWOOD DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013721",
            "telephone_number": "573-489-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEMANN",
        "first_name": "SALLY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2005039286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "KELLER",
            "middle_name": "JANE",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nakeya Lynn Steele, NURSE PRACTITIONER
• Tracey Steele
• Megan Nicole Steen, MSW, LCSW
• Anna Steensma
• Sarah K Steenson, D.O.
• Edward D Steil Jr., CRNA
• Sydney Marie Steil
• Jeffrey Mark Stein, M.D.
• Isabella Steinbach, MS, CGC
• Madison Grace Steinkamp, RBT

• Registered Dietitian in Columbia, MO
• Providers in Columbia, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.