Individual provider Active NPI

Gretchen D'Ann Stalters

  • Registered Dietitian
  • Lincoln, RI
National Provider Identifier
1669586533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00363 Issued in RI
Practice address
132 Old River Rd
Suite B-2
Lincoln, RI 02865-1161
Phone
(401) 333-2784
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN00363 RI Primary
Registered Dietitian 133V00000X 2464 MA

Addresses

Primary practice location

132 Old River Rd
Suite B-2
Lincoln, RI 02865-1161

Mailing address

7 Stony Field Rd
Norton, MA 02766-1145
Phone (508) 285-9383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730000514 MA Practitioner - Registered Dietitian Or Nutrition Professional 2567727811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Stony Field Rd
Norton, MA 02766-1145
Phone (508) 622-0813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2464MAMDRegistered Dietitian
LDN00363RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Center of Rhode Island, Inc. PastSince Oct 22, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669586533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STONY FIELD RD",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027661145",
            "telephone_number": "508-285-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "address_2": "SUITE B-2",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651161",
            "telephone_number": "401-333-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALTERS",
        "first_name": "GRETCHEN",
        "middle_name": "D'ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00363",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.