Active NPI
Taylor Stauble, MS, RD, LD
- Registered Dietitian
- Louisville, KY
National Provider Identifier
1558790675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2585
- Practice address
- 8614 Old Bates Rd
Louisville, KY 40228-2504 - Phone
- (502) 310-9894
- NPI assigned
- Nov 8, 2013
- 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 | 2585 | KY | Primary |
Addresses
Primary practice location
8614 Old Bates Rd
Louisville, KY 40228-2504
Mailing address
1525 W Homer St
Ste 101
Chicago, IL 60642-1280
Phone (773) 292-1940
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1558790675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W HOMER ST",
"address_2": "STE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606421280",
"telephone_number": "773-292-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8614 OLD BATES RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402282504",
"telephone_number": "502-310-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUBLE",
"first_name": "TAYLOR",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "2585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.