Stacy Carlene Roberts-Davis, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4691 Issued in FL

Practice address

8282 SW 1St MNR
Coral Springs, FL 33071-7500

Phone

(954) 682-3526

NPI assigned

Sep 16, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flavorful Nutrition LLC

  • Registered Dietitian
  • Oakland Park, FL
  • NPI 1487032629
  Authorized official Same address or phone

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1437482890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 SW 1ST MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 SW 1ST MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717500",
            "telephone_number": "954-682-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-DAVIS",
        "first_name": "STACY",
        "middle_name": "CARLENE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RKG Psychotherapy, LLC
• RMC Consultants, Inc
• Roaming Medical Inc.
• Georgette Lynn Robbio, RPH
• Robert a. Benevento, D.C.P.a.
• David Sherwood Robinson, M.D.
• Manuel Antonio Robles, M.D.
• Karina Rocha Souza, OTR, CHT
• Dana Angel Rocha
• Rocksteady Therapy & Wellness

• Registered Dietitian in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.