Theresa Stahl, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

N00111 Issued in MD

Practice address

12501 Willowbrook Rd
Woc 2ND Floor
Cumberland, MD 21502-2569

Phone

(240) 964-8416

Fax

(240) 964-8601

NPI assigned

Jan 3, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

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.

• Upmc Western Maryland Corporation

  • Psychiatry Physician
  • Cumberland, MD
  • NPI 1285779884
  NPD (past)
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1447520770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 LEWIS HEIGHTS DR SW",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215026512",
            "telephone_number": "240-727-8626",
            "fax_number": "877-284-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 WILLOWBROOK RD",
            "address_2": "WOC 2ND FLOOR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022569",
            "telephone_number": "240-964-8416",
            "fax_number": "240-964-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "THERESA",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "N00111",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "N00111",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MD",
            "license": "N00111",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MD",
            "license": "N00111",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MD",
            "license": "N00111",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "N00111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sri Ganesh Pharmacy of Cumberland Inc
• Amy M Stafford-Schroyer, RN, MSN, PMHNP-BC
• Staggers Heare & Whiteman PA
• Kayla Leigh Staggs, ADT
• Sarah Stahl, LCPC, CAC-AD
• Cory Shane Stahlman, PHARMD
• Sarah Stakem, PA
• Stanley J Matyasik DO PC
• Erin Stansbury, CRNP
• Jill Starr, LCSW-C

• Registered Dietitian in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.