Staci Michelle Larkin, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT82944 Issued in TX

Practice address

21700 Bellaire Blvd Ste 1520
Richmond, TX 77407-3913

Phone

(361) 298-0920

Fax

(833) 706-9444

NPI assigned

Jan 9, 2018

Last updated

Apr 26, 2020By 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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBCDA
• Direct secure messaging: staci.larkin@kasm.eclinicaldirectplus.com

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.

• Katy Supportive Medicine, P.a.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1346645066
  Medicare reassignment NPD
• The Katy Dietitian, LLC

  • Registered Dietitian
  • Richmond, TX
  • NPI 1528688934
  Authorized official Same address or phone

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1295242402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 WINDING LAKE WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505726",
            "telephone_number": "281-886-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 BELLAIRE BLVD STE 1520",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073913",
            "telephone_number": "361-298-0920",
            "fax_number": "833-706-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "STACI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lam
• Landmark Homecare LLC
• Karmease L. Landry, M.ED., CCC-SLP
• Abigail Marie Laney, APRN, AGCNS-BC
• Amy Lara
• Ricardo TLMT Lasida
• Susan Lassiter
• Lesley-Anne Lastimoso
• Azka Latif, MD
• Kelly Lauck

• Registered Dietitian in Richmond, TX
• Providers in Richmond, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.