Heather Jean Stabley, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5018 Issued in FL

Practice address

790 Veterans Way
Pensacola, FL 32507-1000

Phone

(850) 912-2098

NPI assigned

Jun 19, 2020

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

Other identifiers 1

Electronic endpoints 1

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1730705344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 DUNHURST DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325345308",
            "telephone_number": "850-418-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VETERANS WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071000",
            "telephone_number": "850-912-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABLEY",
        "first_name": "HEATHER",
        "middle_name": "JEAN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ND5018",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "heather.stabley@va.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "790 Veterans Way",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325071000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Katelyn Marie Spurgeon, MSW
• Cathy Marie St. Julien
• Eric St. Pierre, LMT
• Bianca Stack, MSW
• Jennifer Dawn Stadden, M.D.
• Shannah Stageberg
• Katlyn Stagg-Scalia
• Montana Staggs, OTR/L

• Registered Dietitian in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.