Kerstina Stoner-Davis, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06269 Issued in TX

Practice address

700 E Park Blvd Ste 206
Plano, TX 75074-5472

Phone

(972) 422-9180

Fax

(888) 821-2292

NPI assigned

Feb 15, 2016

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

Other identifiers 1

Other names 1

• Ms. Keri Stoner-Davis Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1568821817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745472",
            "telephone_number": "972-422-9170",
            "fax_number": "888-821-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745472",
            "telephone_number": "972-422-9180",
            "fax_number": "888-821-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER-DAVIS",
        "first_name": "KERSTINA",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2021-12-21",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367548001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lemondnutrition.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Nutriphasics, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EXCL",
            "address_1": "700 E Park Blvd Ste 206",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750745472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "STONER-DAVIS",
            "prefix": "MS.",
            "credential": "MS, RDN, LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in Plano, TX
• Providers in Plano, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.