Stacey Allen
Individual provider Active NPI Registered Dietitian · Jay, FL
NPI 1952267262 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1952267262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 9361 Denali Rd
Jay, FL 32565-9564 - Phone
- (346) 300-8242
- NPI assigned
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
9361 Denali Rd
Jay, FL 32565-9564
Mailing address
9361 Denali Rd
Jay, FL 32565-9564
Phone (346) 300-8242
Other providers in Jay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.