Stephanie Ann Bost, RD
Individual provider Active NPI Registered Dietitian · McClellan, CA
NPI 1295070290 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1295070290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 962816 (CA)
- Practice address
- 3401 Beech St.
McClellan, CA 95652 - Phone
- (916) 640-8050
- NPI assigned
- Dec 1, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962816 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 962816 | CA | Yes |
Addresses
Primary practice location
3401 Beech St.
McClellan, CA 95652
Mailing address
3401 Beech St.
McClellan, CA 95652
Other providers in McClellan, CA
- Caitlin Elizabeth Baumgardner
- Sylvia Brouwer Beamesderfer
- William Beauchamp
- Karlene Bittler
- Kendall Lynn Block
- Faith Benton Broyles
- Sean R Burgess
- Rosemary Cabral
- California Shock Trauma Air Rescue
- Margaret Edith Carrico
All providers in McClellan, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.