Active NPI
Stephanie Grace Mohney, R.D.
- Registered Dietitian
- Martinez, CA
National Provider Identifier
1306014915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 839989
- Practice address
- 150 Muir Rd
Martinez, CA 94553-4668 - Phone
- (925) 372-2031
- NPI assigned
- Feb 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 839989 | CA | Primary |
Addresses
Primary practice location
150 Muir Rd
Martinez, CA 94553-4668
Mailing address
PO Box 3929
Long Beach, CA 90803-0929
Phone (562) 338-6420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 839989 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203120000000",
"number": "1306014915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3929",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908030929",
"telephone_number": "562-338-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534668",
"telephone_number": "925-372-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHNEY",
"first_name": "STEPHANIE",
"middle_name": "GRACE",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-16",
"last_updated": "2008-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "839989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.