Stephanie Fernandes, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86091322

Practice address

1000 Ballpark Way Ste 400
Arlington, TX 76011-5170

Phone

(864) 710-0140

NPI assigned

Mar 13, 2017

Last updated

Dec 2, 2019By 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 1

Addresses

Other identifiers 2

Other names 1

• Stephanie Mihaly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1356882120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CUMBERLAND BLVD SE UNIT 630",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394431",
            "telephone_number": "864-710-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BALLPARK WAY STE 400",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115170",
            "telephone_number": "864-710-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Foch St",
            "address_2": "Apt 1148",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761072560",
            "country_code": "US",
            "telephone_number": "864-710-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "STEPHANIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86091322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "86091322",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "DT85680",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MIHALY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah A Ferguson-Cain, LPC
• Donald William Ferguson II, M.D.
• Lorna Lim Ferguson, M.D.
• Nicole Leann Ferguson, LCSW
• Stephanie Marie Ferguson, DDS
• Crystal Fernandez, PHD, BCBA
• Samantha Ferraro, PT, DPT
• Amanda L Ferreira Bates
• Reyanna Canava Ferrer
• Kathryn Bond Ferry, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.