Active NPI
Tracey Christin Stamates, R.D., CDE
- Registered Dietitian
- Mount Airy, MD
National Provider Identifier
1487832499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D01409
- Practice address
- 1104 Village Oaks Dr
Mount Airy, MD 21771-5378 - Phone
- (301) 502-7823
- Fax
- (301) 829-8380
- NPI assigned
- Feb 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D01409 | MD | Primary |
Addresses
Primary practice location
1104 Village Oaks Dr
Mount Airy, MD 21771-5378
Mailing address
1104 Village Oaks Dr
Mount Airy, MD 21771-5378
Phone (301) 502-7823
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1487832499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 VILLAGE OAKS DR",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715378",
"telephone_number": "301-502-7823",
"fax_number": "301-829-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 VILLAGE OAKS DR",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715378",
"telephone_number": "301-502-7823",
"fax_number": "301-829-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMATES",
"first_name": "TRACEY",
"middle_name": "CHRISTIN",
"credential": "R.D., CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D01409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.