Active NPI
Stacey Lynn Adams, MPH, RD, CDN
- Renal Nutrition Registered Dietitian
- New York, NY
National Provider Identifier
1407030943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 005241
- Practice address
- 505 East 70TH Street
2ND Floor
New York, NY 10021 - Phone
- (212) 746-1578
- Fax
- (212) 746-8483
- NPI assigned
- Dec 19, 2007
- Last updated
- Dec 19, 2007
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 005241 | NY | Primary |
Addresses
Primary practice location
505 East 70TH Street
2ND Floor
New York, NY 10021
Mailing address
504-506 East 74TH Street
5TH Floor
New York, NY 10021
Phone (212) 249-4061
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1407030943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504-506 EAST 74TH STREET",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-249-4061",
"fax_number": "212-249-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 EAST 70TH STREET",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-746-1578",
"fax_number": "212-746-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "STACEY",
"middle_name": "LYNN",
"credential": "MPH, RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NY",
"license": "005241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.