Tonja Maria Stallings, R.D.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Practice address

17570 San Rosa Blvd
Lathrup Village, MI 48076-2715

Phone

(248) 866-4967

Fax

(248) 559-5081

NPI assigned

Apr 9, 2007

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)

Enrolled

Practice roles

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

• Prudent-Lifestyles Nutrition Services, Inc.

  • Metabolic Nutrition Registered Dietitian
  • Lathrup Village, MI
  • NPI 1124228275

  Nutrition, Metabolic

  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871616219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17570 SAN ROSA BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762715",
            "telephone_number": "248-866-4967",
            "fax_number": "248-559-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17570 SAN ROSA BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762715",
            "telephone_number": "248-866-4967",
            "fax_number": "248-559-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "TONJA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southfield Medical Group PLLC
• Southfield Pain Mangement
• Southfield Pediatrics PLLC
• Specialty Medical Group
• Spectrum Medical Equipment Inc.
• Standard Rehabilitation Inc
• John T. Steele, MD
• Step by Step Physical Therapy LLC
• Joshua Alex Stewart, DPM
• Sharon Denise Stewart, D.D.S.

• Metabolic Nutrition Registered Dietitian in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Metabolic Nutrition Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.