Juanita Elizabeth Stark, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN003275 Issued in PA

Practice address

8 W Snyder St Ste 2
Selinsgrove, PA 17870-1504

Phone

(570) 847-1111

NPI assigned

Oct 1, 2024

Last updated

Oct 1, 2024By 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

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1912725755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ROLLING GREEN DR",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709492",
            "telephone_number": "570-847-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W SNYDER ST STE 2",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701504",
            "telephone_number": "570-847-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JUANITA",
        "middle_name": "ELIZABETH",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poonam Srivastava, M.D.
• Lindsey M Stahl, DPT
• Tiffany Stamm
• Patricia Ann Stansbury
• Raymond Terrance Stantons, DPM
• Judie Marie Steinbacher, CRNP
• Step by Step Counseling Services LLC
• Tanner Stoltzfus, OTR/L
• Cheryl L Stumpf, MS
• John Stanley Stumpf, M.S.

• Registered Dietitian in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.