Stephanie Urich, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2023034318 Issued in MO

Practice address

2150 E Swallow St
Springfield, MO 65804-6768

Phone

(615) 975-5367

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 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

Other names 1

• Stephanie Mitchell Former name

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1871374108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E SWALLOW ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046768",
            "telephone_number": "615-975-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E SWALLOW ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046768",
            "telephone_number": "615-975-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URICH",
        "first_name": "STEPHANIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2023034318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MITCHELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Springfield, MO
• Providers in Springfield, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.