Stephanie Haley Violet Contreras, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1979 Issued in AR

Practice address

215 N East Ave Ste 102
Fayetteville, AR 72701-5296

Phone

(479) 652-5711

NPI assigned

Nov 16, 2020

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

State licenses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1902408701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 N TRAFALGER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046090",
            "telephone_number": "479-652-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N EAST AVE STE 102",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015296",
            "telephone_number": "479-652-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "STEPHANIE",
        "middle_name": "HALEY VIOLET",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth D Conley
• Cara Conner
• Julia Conroy, PHD
• Consultants in Neurology
• Sienna Olivia Contreras
• Aletha Cook, M.S., CCC-SLP
• Evan Cook
• Jennifer Jane Cook
• Kathlyn R. Cook, M.D.
• Kyle Patterson Cook, RPH

• Registered Dietitian in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.