Stacey Trogdon, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D100001085 Issued in WA

Practice address

6120 N Mayfair St
Spokane, WA 99208-1033

Phone

(509) 688-6700

Fax

(509) 484-9212

NPI assigned

Feb 27, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912034018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3867",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203867",
            "telephone_number": "509-688-6700",
            "fax_number": "509-688-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 N MAYFAIR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081033",
            "telephone_number": "509-688-6700",
            "fax_number": "509-484-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992013825",
            "country_code": "US",
            "telephone_number": "509-232-8145",
            "fax_number": "509-232-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992013825",
            "country_code": "US",
            "telephone_number": "509-232-8145",
            "fax_number": "509-232-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROGDON",
        "first_name": "STACEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "D100001085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087263",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triumph Community Services, Inc.
• Leigh Anne Trivino, PA-C
• Aidan Opal Tro, DDS
• Angela Dawn Trobaugh-Lotrario, M.D.
• Anna Trofholz
• Jennifer A Troiano, MD
• Elisa M Troisi, CDPT
• Kelli L Trom, DPT
• Leanne Kathleen Troop-Dasgupta, FNP-BC
• Carol Trost, LMP

• Registered Dietitian in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.