Stacey Lee Richmond, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1496 Issued in MA

Practice address

1170 Main St
West Barnstable, MA 02668-1162

Phone

(508) 362-1221

Fax

(508) 362-5858

NPI assigned

Apr 10, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kind Eating Inc

  • Registered Dietitian
  • West Barnstable, MA
  • NPI 1790173490

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1265655005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681162",
            "telephone_number": "508-362-1221",
            "fax_number": "508-362-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681162",
            "telephone_number": "508-362-1221",
            "fax_number": "508-362-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Long Pond Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602664",
            "country_code": "US",
            "telephone_number": "508-362-1221",
            "fax_number": "508-362-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM ID#",
            "identifier": "39271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NBD Healthcare Associates, Inc.
• Carol J O'Connell
• Edward J Perper, M.D.
• Judith Ann Power, PSY.D.
• R.D. Equipment, Inc.
• Kathleen M Robbins, LICSW
• Mary Elizabeth Sibbio, RN
• Brenda Marie Tri, CRT,EI
• Joan M Trimble, RD
• Arthur C Weinstock III, DO

• Registered Dietitian in West Barnstable, MA
• Providers in West Barnstable, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.