Clancy Bryant Stargel, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005205 Issued in GA

Practice address

525 SW 41St St
Gainesville, FL 32607-2763

Phone

(843) 737-2663

NPI assigned

Jul 1, 2021

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

Other names 1

• Clancy Bryant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1417527359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072763",
            "telephone_number": "843-737-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072763",
            "telephone_number": "843-737-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARGEL",
        "first_name": "CLANCY",
        "middle_name": "BRYANT",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLANCY",
            "last_name": "BRYANT",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Nicole Stanton, MD
• Matthew A Stanton, PHARM.D.
• Anne M Staples, PA-C
• Jill Star, PH.D.
• Madison Nicole Starcher
• Hannah Stark, RBT
• Megan Stark, OTR/L
• Donald R. Starkweather Jr., ARNP, FNP, ACNP
• Starling Eye Group, P.a.
• Charles Edward Starling, MD

• Registered Dietitian in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.