Organization Active NPI

Kaitlyn Stephenson

  • Registered Dietitian
  • Chesapeake, VA
National Provider Identifier
1699473124
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KAITLYN STEPHENSON
Practice address
918 Brandon Quay
Chesapeake, VA 23320-8543
Phone
(304) 276-6024
NPI assigned
Feb 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Ms. Kaitlyn Nicole Stephenson, RD, MPPDNPI 1780278119
Title
Registered Dietitian
Phone
(304) 276-6024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

918 Brandon Quay
Chesapeake, VA 23320-8543

Mailing address

918 Brandon Quay
Chesapeake, VA 23320-8543
Phone (304) 276-6024

Other names 1

  • Masters Diet Nutrition Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1699473124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BRANDON QUAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208543",
            "telephone_number": "304-276-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BRANDON QUAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208543",
            "telephone_number": "304-276-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLYN STEPHENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "304-276-6024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, MPPD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masters Diet Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.