Ellen Rebecca Stamerjohn, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86684 Issued in TX

Practice address

100 N Central Expy Ste 409
Richardson, TX 75080-5311

Phone

(214) 838-8237

NPI assigned

Oct 21, 2020

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1659970598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HOWELL ST APT 441",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043551",
            "telephone_number": "217-653-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 409",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805311",
            "telephone_number": "214-838-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMERJOHN",
        "first_name": "ELLEN",
        "middle_name": "REBECCA",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St M Health PLLC
• Lilian St. John, MD
• Beverly Ann St. Onge, MS, CCC-SLP
• Whitney Ashlyn Russell Stabile, LPC-S
• Jesse Allen Stafford, D.D.S.
• Stampe Dental, PA
• Melody A Stampe, DDS
• Kimberly Stanley, CNIM
• Lindsey Stanley
• Michael D Stanley, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.