Active NPI
Donna Stubblefield
- Registered Dietitian
- Winslow, AZ
National Provider Identifier
1750829610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 940097
- Practice address
- 620 Lee St
Winslow, AZ 86047-2435 - Phone
- (928) 288-8752
- Fax
- (928) 288-8753
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 940097 | AZ | Primary |
Addresses
Primary practice location
620 Lee St
Winslow, AZ 86047-2435
Mailing address
720 W Hillview St
Winslow, AZ 86047-2433
Phone (928) 386-8171
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940097 | AZ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1750829610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W HILLVIEW ST",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472433",
"telephone_number": "928-386-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 LEE ST",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472435",
"telephone_number": "928-288-8752",
"fax_number": "928-288-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBLEFIELD",
"first_name": "DONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "940097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.