Stephanie Dole Deming, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86174863 Issued in NY

Practice address

29 Redfern Dr
Churchville, NY 14428-8901

Phone

(585) 455-3180

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bespoke Family Nutrition PLLC

  • Registered Dietitian
  • Churchville, NY
  • NPI 1205613858

  Dietitian, Registered

  NPD Authorized official
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1326759218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 REDFERN DR",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144288901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 REDFERN DR",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144288901",
            "telephone_number": "585-455-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMING",
        "first_name": "STEPHANIE",
        "middle_name": "DOLE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86174863",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Churchville Physical Therapy, PC
• Churchville-Chili Central School District
• Susan Elaine Cullinan, LPN
• Thomas Deleo
• Marcus Delgaizo, DPT
• Erin Dicesare, BCBA, LBA
• Rossana Dombeck, RN
• Courtney Dove
• Jacqueline Fedchak, LPN
• Brittany Ferri, OTR/L

• Registered Dietitian in Churchville, NY
• Providers in Churchville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.