Stacey Walsemann, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009548 Issued in NY

Practice address

7785 N State St
Lowville, NY 13367-1229

Phone

(315) 376-5081

NPI assigned

Sep 8, 2025

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

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lewis County General Hospital

  • Family Medicine Physician
  • Lyons Falls, NY
  • NPI 1568534303
  Medicare reassignment NPD
• Lewis County

  • Public Health or Welfare Agency
  • Lowville, NY
  • NPI 1114659778
  NPD
• Lewis County General Hospital

  • Psychiatry Physician
  • Lowville, NY
  • NPI 1982954178
  NPD
• Lewis County

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1639059702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 ZECHER RD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136196017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4669 Zecher RD",
            "address_purpose": "LOCATION",
            "city": "carthage",
            "state": "NY",
            "postal_code": "136196017",
            "country_code": "US",
            "telephone_number": "315-771-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSEMANN",
        "first_name": "STACEY",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Michael Tubolino, PHARM.D.,C.G.P.
• Tug Hill Urgent Medicine PLLC
• Eldad Vered, MD
• Manoj R Vora, M.D.
• Wal-Mart Stores East LP
• Stacey Walton, NP
• Michelle Ward, LPN
• Kymberly Washington, LMSW
• John M Wat, D.O.
• Debra Ann Wiedmer, OT/L

• Registered Dietitian in Lowville, NY
• Providers in Lowville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.