Stephanie Willard, MS RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86167991 Issued in CO

Practice address

7381 Tributary CT
Fountain, CO 80817-4716

Phone

(719) 373-3232

NPI assigned

Nov 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Forward Nutrition Co LLC

  • Registered Dietitian
  • Fountain, CO
  • NPI 1639838774

  Dietitian, Registered

  NPD Authorized official
• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  Dietitian, Registered

  NPD
• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1548925258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 TRIBUTARY CT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174716",
            "telephone_number": "719-373-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 TRIBUTARY CT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174716",
            "telephone_number": "719-373-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "STEPHANIE",
        "credential": "MS RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86167991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Welch, PHARMD
• Xiaofei Wen, PHARMD
• Amanda Grace West
• Jim Grant Whetstine
• Jennifer Lynn White, RDLD
• Amanda Margaret Williams, LPC
• Erricka D Wilson, LMT
• Stacey Wilson, M.ED., BCBA
• Mark Carlyle Woodbury, DMD
• Katelyn Yadao

• Registered Dietitian in Fountain, CO
• Providers in Fountain, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.