Active NPI
Krista L. Stelmach, R.D.
- Registered Dietitian
- Wayne, NJ
National Provider Identifier
1699002113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 962920
- Practice address
- 600 Valley Rd
Suite LLR1
Wayne, NJ 07470-3535 - Phone
- (973) 518-2674
- NPI assigned
- Nov 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 962920 | NJ | Primary |
Addresses
Primary practice location
600 Valley Rd
Suite LLR1
Wayne, NJ 07470-3535
Mailing address
600 Valley Rd
Suite LLR1
Wayne, NJ 07470-3535
Phone (973) 518-2674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962920 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1699002113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 VALLEY RD",
"address_2": "SUITE LLR1",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703535",
"telephone_number": "973-518-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 VALLEY RD",
"address_2": "SUITE LLR1",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703535",
"telephone_number": "973-518-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELMACH",
"first_name": "KRISTA",
"middle_name": "L.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "962920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.