Stephanie Machacek, MS, CNS

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

912 Palmdale CT
Boiling Springs, SC 29316-6149

Phone

(651) 246-4856

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1811613649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 PALMDALE CT",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166149",
            "telephone_number": "651-246-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 PALMDALE CT",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166149",
            "telephone_number": "651-246-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHACEK",
        "first_name": "STEPHANIE",
        "credential": "MS, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Nutrition Education Nutritionist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.