William Henry Stallings Jr., RD LDN CSSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN002543 Issued in PA

Practice address

2824 Cottman Ave
Suite 11
Philadelphia, PA 19149-1400

Phone

(215) 333-6126

Fax

(215) 333-6127

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1780797563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 COTTMAN AVE",
            "address_2": "SUITE 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491400",
            "telephone_number": "215-333-6126",
            "fax_number": "215-333-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 COTTMAN AVE",
            "address_2": "SUITE 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491400",
            "telephone_number": "215-333-6126",
            "fax_number": "215-333-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RD LDN CSSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shandra Staley, LMT
• Megan Ann Stallard
• Jeffrey Gilbert Staller, D.D.S.
• Leonard Stallings, R.N.
• Virginia A Stallings, M.D.
• Deborah Ann Stallworth
• Yasming Stallworth, CRNP
• Dwight E Stambolian, MD
• John Stammers, MBBS
• Cynthia M. Stamper, MSS, LCSW

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.