Individual provider Active NPI

Nicole Stahr, RD LD

  • Registered Dietitian
  • Des Moines, IA
National Provider Identifier
1669865028
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01566 Issued in IA
Practice address
2540 E Euclid Ave
Des Moines Hy-Vee #1138
Des Moines, IA 50317-6046
Phone
(515) 262-0640
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 01566 IA Primary

Addresses

Primary practice location

2540 E Euclid Ave
Des Moines Hy-Vee #1138
Des Moines, IA 50317-6046

Mailing address

1420 NW 26TH St
Ankeny, IA 50023-7838
Phone (515) 829-1607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205001900 IA Practitioner - Registered Dietitian Or Nutrition Professional 1759661945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hy-Vee Health PCGroup PAC ID 1254701618, 43 clinicians

Practice addresses (Care Compare)

4605 Fleur Dr
Des Moines, IA 50321-2333
Phone (515) 225-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01566IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Mar 6, 2024 Accepting new patients
Hy-Vee Health PC Current Accepting new patients
Hy-Vee Health PC CurrentSince Mar 6, 2024 Accepting new patients

Locations

4605 Fleur Dr
Des Moines, IA 50321
Phone (515) 285-7133

1990 Grand Ave
West Des Moines, IA 50265
Phone (515) 223-8151

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

7300 Westown Pkwy
Ste 320
West Des Moines, IA 50266
Phone (402) 896-5000

Organizations & group practices 3

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1669865028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NW 26TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237838",
            "telephone_number": "515-829-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 E EUCLID AVE",
            "address_2": "DES MOINES HY-VEE #1138",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176046",
            "telephone_number": "515-262-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHR",
        "first_name": "NICOLE",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "01566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.