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WAYNE ANTHONY STACKHOUSE
NPI 1073404380
Nutritionist in Philadelphia, PA

Active since July 14, 2025
3213 N 27TH ST, PHILADELPHIA, PA 19129(267) 742-4163(267) 742-4163 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne Anthony Stackhouse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE ANTHONY STACKHOUSE (NPI 1073404380) is an individual nutritionist in Philadelphia, Pennsylvania and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1073404380
Entity TypeIndividualMale
Primary Taxonomy133N00000X
Provider Legal NameWAYNE ANTHONY STACKHOUSE
Location Address3213 N 27TH STPhiladelphia, PA 19129-1808
Mailing Address3213 N 27th StPhiladelphia, PA 19129-1808 · (267) 742-4163 · Fax (267) 742-4163
Phone(267) 742-4163
Fax(267) 742-4163
Sole ProprietorYes
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1073404380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
3213 N 27TH ST, Philadelphia, PA 19129
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Stackhouse's NPI number?

The NPI number for Wayne Stackhouse is 1073404380. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Wayne Stackhouse located?

Wayne Stackhouse practices at 3213 N 27th St, Philadelphia, PA 19129. The listed phone number is (267) 742-4163.

What is Wayne Stackhouse's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Wayne Stackhouse was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.