Stephanie Elizabeth Stang, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

117993 Issued in AK

Practice address

1000 Greg Kruschek Ave
Nome, AK 99762-2046

Phone

(907) 443-8903

Fax

(907) 443-4571

NPI assigned

Feb 13, 2017

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

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1710426655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2046",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997622046",
            "telephone_number": "907-443-8903",
            "fax_number": "907-443-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREG KRUSCHEK AVE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997622046",
            "telephone_number": "907-443-8903",
            "fax_number": "907-443-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANG",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "117993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Sockpick
• Pamela Sookiayak
• Jeremy Robert Sperrazza, PHARMD
• Daniel J Stang, DDS
• Edward Stang, D.D.S.
• Kristopher Staples
• Kelly L Strass, M.S.C.P.
• Teresa Straub, DO
• Elsie Lynn Strickland
• Toyoichiro Suzuki, PSY.D.

• Registered Dietitian in Nome, AK
• Providers in Nome, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.