Stephanie L Proud, RDN LD CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

01596 Issued in IA

Practice address

2140 Norcor Ave Ste 104
Coralville, IA 52241-9736

Phone

(319) 331-9017

Fax

(319) 469-8763

NPI assigned

Sep 28, 2005

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Proud Peaceful Nutrition, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coralville, IA
  • NPI 1932083961
  NPD Authorized official

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1366439028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-467-2842",
            "fax_number": "319-356-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 NORCOR AVE STE 104",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419736",
            "telephone_number": "319-331-9017",
            "fax_number": "319-469-8763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Oakdale Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522419749",
            "country_code": "US",
            "telephone_number": "319-331-9017",
            "fax_number": "319-469-8763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Silver Maple Trl",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523174740",
            "country_code": "US",
            "telephone_number": "319-331-9017",
            "fax_number": "319-469-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROUD",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RDN LD CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-28",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "01596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Bird Priest, PHD, LMFT
• Sarah Patricia Aanes Prochaska, LMSW
• Prosthodontic Associates, Inc.
• Proud Peaceful Nutrition, LLC
• Payton C. Proud
• Susan C Puhl, M.D.
• Queenyee Family Medicine Clinic
• Nicole Quinn, T-LMHC
• Cassie Rose Raasch, LMSW
• Radiologic Medical Services PC

• Registered Dietitian in Coralville, IA
• Providers in Coralville, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; 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.