Mary Ann Stockhauser, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009596 Issued in NY

Practice address

917 Newport Rd
Utica, NY 13502

Phone

(315) 572-0877

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1689216038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 NEWPORT RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 NEWPORT RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-572-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKHAUSER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nutrition@maryannsanswer.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "917 Newport Rd",
            "city": "Utica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beth A Stevens
• Christina Stanton Stewart, PA-C
• Dominick Stewart, LMSW
• Shelby Grace Stockbridge
• Carley Elizabeth Stockham
• Susan Jean Strail
• Amanda Straney, PT,DPT
• Megan Elizabeth Streeter, M.S.ED.
• Elvedina Strukan, PA
• Celestine Ynette Stubbs, MS, LMHC, NCC

• Registered Dietitian in Utica, NY
• Providers in Utica, 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 Oct 16, 2019; 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.