Stacey Norris McMahon, RD
Individual provider Active NPI Registered Dietitian · Topanga, CA
NPI 1407553530 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1407553530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 1203 Supi LN
Topanga, CA 90290-4473 - Phone
- (310) 857-8617
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
1203 Supi LN
Topanga, CA 90290-4473
Mailing address
PO Box 272
Topanga, CA 90290-0272
Other providers in Topanga, CA
- Malibu Recovery Center LLC
- Malibu Recovery Center LLC
- Nancy Josephine Marcucella
- Crystal Williams Mattimore
- Minou Z Mayer
- Jennifer Meininger
- Lily M Meller
- Yolande Michaels
- Azita Moallef
- Julie Lynn Morgavi
All providers in Topanga, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.