Active NPI
Stephanie Neu, RD
- Registered Dietitian
- Tallahassee, FL
National Provider Identifier
1497423727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86104898
- Practice address
- 3425 Bannerman Rd Ste 253
Tallahassee, FL 32312-7062 - Phone
- (303) 210-9807
- NPI assigned
- Sep 1, 2021
- 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 | 86104898 | Primary |
Addresses
Primary practice location
3425 Bannerman Rd Ste 253
Tallahassee, FL 32312-7062
Mailing address
3425 Bannerman Rd Ste 253
Tallahassee, FL 32312-7062
Phone (303) 210-9807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86104898 | Other | COMMISSION ON DIETETIC REGISTRATION |
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentic Appetite LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
3425 Bannerman Rd
Ste 253
Tallahassee, FL 32312
Phone (303) 210-9807
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1497423727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 BANNERMAN RD STE 253",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323127062",
"telephone_number": "303-210-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 BANNERMAN RD STE 253",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323127062",
"telephone_number": "303-210-9807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEU",
"first_name": "STEPHANIE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86104898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86104898",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.