Individual provider Active NPI

Kristin Stovall, RDN

  • Registered Dietitian
  • Cortland, OH
National Provider Identifier
1730041161
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
960161 Issued in OH
Practice address
369 N High St
Cortland, OH 44410-1022
Phone
(330) 638-4015
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 960161 OH Primary

Addresses

Primary practice location

369 N High St
Cortland, OH 44410-1022

Mailing address

1329 Victory Hill LN
Austintown, OH 44515-4380
Phone (330) 638-4015

Other practice location 1

619 Northwest Ave
Tallmadge, OH 44278-1203
Phone (234) 274-1888

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

LicenseStateTypeSpecialty
960161OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1730041161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 VICTORY HILL LN",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154380",
            "telephone_number": "330-638-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 N HIGH ST",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101022",
            "telephone_number": "330-638-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Northwest Ave",
            "address_purpose": "LOCATION",
            "city": "Tallmadge",
            "state": "OH",
            "postal_code": "442781203",
            "country_code": "US",
            "telephone_number": "234-274-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "KRISTIN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "960161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.