Staci Shacter, RD MS LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5654 Issued in FL

Practice address

2320 NE 62ND St
Ft Lauderdale, FL 33308-2208

Phone

(954) 772-7552

NPI assigned

Nov 15, 2012

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

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Azriel Hirschfeld MD PLLC

  • Hematology & Oncology Physician
  • Brooklyn, NY
  • NPI 1154936029

  NJ

  Medicare reassignment NPD
• Impact Health New Jersey PC

  dba Belly Health Medical NJ

  • Nurse Practitioner
  • Roselle, NJ
  • NPI 1487399689
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1811231863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3497 BARBADOS AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264653",
            "telephone_number": "954-290-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NE 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082208",
            "telephone_number": "954-772-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACTER",
        "first_name": "STACI",
        "credential": "RD MS LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Sewell, ARNP
• Zsuzsanna Verebelyi Seybold, M.D.
• Zenebework Seyoum
• SF Medical Transport, LLC
• Ayiesha Shabazz, B.S, COTA/L
• Bet Shaddinger, LMFT, BC-PTSD, CHT
• Melissa Shaffer, ARNP
• Naveed Shafi, MD
• Yalda Shafizadeh, MD
• Lalit K Shah, MD

• Registered Dietitian in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.