Tracey Stassi, MHSC, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005446 Issued in PA

Practice address

75 Manhattan Dr Ste 207
Boulder, CO 80303-4253

Phone

(720) 943-7305

NPI assigned

Feb 14, 2021

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essential Nutrition LLC

  • Clinic/Center
  • Boulder, CO
  • NPI 1104043553

  Dietitian, Registered

  NPD (past)
• Amanda E. White Therapy for Women

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1770180275
  NPD (past)

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1710570478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034253",
            "telephone_number": "720-943-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034253",
            "telephone_number": "720-943-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASSI",
        "first_name": "TRACEY",
        "credential": "MHSC, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Suzanne Stanley, LPCC
• Jennifer Lau Stanzel, P.A.
• Julie A Stapleton, M.D.
• Shanna Suzanne Stapleton, LMT
• Stasis Behavioral Health, LLC
• Dominika Staszeczka, PSY.D.
• Lauren Michelle Staton, PT, DPT
• Lisa Staudenmayer
• Steadfast Assisting LLC
• Gary Paul Stec, MD

• Registered Dietitian in Boulder, CO
• Providers in Boulder, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.