Stephanie Brock Nunnery, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD002882 Issued in GA

Practice address

209 N Cuthbert St
Colquitt, GA 39837-3518

Phone

(229) 758-4307

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By 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 GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County Georgi

  dba Magnolia Womens Center

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1548788771
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306928452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JUREE LN",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398457232",
            "telephone_number": "229-758-4307",
            "fax_number": "229-758-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-758-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNERY",
        "first_name": "STEPHANIE",
        "middle_name": "BROCK",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miller Adult Day Health
• Miller County Board of Education
• Miller County Board of Health
• Madisen Rathel Miller
• Sherria Maria Norwood, NP
• Olufunmilayo Abidemi Onobrakpeya, MD
• Open Arms Hospice, Inc.
• Nakeisha Anne Otto-Stewart, M.D.
• Pedernales Dialysis LLC (Miller Dialysis)
• Stephanie Davis Phillips, NP-C

• Registered Dietitian in Colquitt, GA
• Providers in Colquitt, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.