Active NPI
Stacy Leigh Michael, RDLD
- Registered Dietitian
- Maysville, KY
National Provider Identifier
1700158490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2229
- Practice address
- 927 Kenton Station Dr
Maysville, KY 41056-9617 - Phone
- (606) 759-5331
- Fax
- (606) 759-5363
- NPI assigned
- Jan 27, 2012
- Last updated
- Jan 27, 2012
- 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 | 2229 | KY | Primary |
Addresses
Primary practice location
927 Kenton Station Dr
Maysville, KY 41056-9617
Mailing address
PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029
Other names 1
- Stacy Leigh Cluxton
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2229 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1700158490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411790550",
"telephone_number": "606-796-3029",
"fax_number": "606-796-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 KENTON STATION DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569617",
"telephone_number": "606-759-5331",
"fax_number": "606-759-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "STACY",
"middle_name": "LEIGH",
"credential": "RDLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "2229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "CLUXTON",
"middle_name": "LEIGH",
"credential": "RDLD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maysville, KY
- Meadowview Regional Medical Center LLC (Meadowview Regional Medical Center)
- Medical Arts Pharmacy of Maysville Ky Inc (Medical Arts Pharmacy)
- Amber Hope Mellenkamp
- George A Mercado, MD
- Melissa Meyer, RN
- Tiffany Nicole Miller, APRN-BC
- Patricia Milligan
- Melanie Mineer, MED
- Jacqueline Mitchell, LPCC
- Ellen Moore, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.