Cindy Stack-Keer, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

716802 Issued in CA

Practice address

900 Veterans Blvd Ste 200
Redwood City, CA 94063-1740

Phone

(650) 299-4993

Fax

(650) 299-7454

NPI assigned

Nov 25, 2008

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

Electronic endpoints 1

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1871748392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VETERANS BLVD STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631740",
            "telephone_number": "650-299-4993",
            "fax_number": "650-299-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VETERANS BLVD STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631740",
            "telephone_number": "650-299-4993",
            "fax_number": "650-299-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK-KEER",
        "first_name": "CINDY",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "716802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1800 Harrison St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946123466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carl St Goar
• Emily Bolton St. John
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• Sara Christine Rochotte Stabile, MD
• Ginny Stacey, PHARM.D.
• Jessica Stacy, ATC
• Melanie Staehelin, NP
• Karrie Marie Stafford, MA MFT
• Misty Stalley Boyle, L.E.
• Stanford University Medical Center

• Registered Dietitian in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Registered Dietitian in California

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