Stacey Mattinson, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT83374 Issued in TX

Practice address

4777 Cedar Springs Rd Apt 2J
Dallas, TX 75219-1276

Phone

(469) 450-4073

NPI assigned

Jan 4, 2016

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

Other names 1

• Stacey James Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1730545914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 CEDAR SPRINGS RD APT 2J",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191276",
            "telephone_number": "469-450-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 CEDAR SPRINGS RD APT 2J",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191276",
            "telephone_number": "469-450-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINSON",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "JAMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Matthews, MD
• Susan Denise Matthews
• Varghese Matthews, M.D.
• Evan Mattice
• Meileilan C Mattinson, CRNA
• Mattison Pathology, L.L.P.
• Bailey Mattox
• Robert F Mattrey, MD
• Susan Andrea Matulevicius, MD
• Maria Maturino

• Registered Dietitian in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.