Stacey Baganz, BCHN, MS

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

2499 Ledger Way
Park City, UT 84060-1220

Phone

(858) 248-5343

NPI assigned

Dec 4, 2015

Last updated

Nov 3, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1841665684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 LEDGER WAY",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840601220",
            "telephone_number": "588-248-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 LEDGER WAY",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840601220",
            "telephone_number": "858-248-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGANZ",
        "first_name": "STACEY",
        "credential": "BCHN, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Park City, UT
• Providers in Park City, UT by specialty
• Nutritionist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.