Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY LYNN WELLMAN MS RD LD
NPI 1114110905
Dietitian, Registered in Kingwood, WV

Q: What is Stacy Wellman's NPI number?

The NPI number for Stacy Wellman is 1114110905. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Q: What is Stacy Wellman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Wellman was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since August 24, 2007

150 MEMORIAL DR, KINGWOOD, WV 26537(304) 329-1400 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Stacy Lynn Wellman Ms Rd Ld NPPES

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

STACY LYNN WELLMAN MS RD LD (NPI 1114110905) is an individual dietitian, registered in Kingwood, West Virginia, licensed in West Virginia (481) and active in the NPI registry since August 2007. She maintains a secondary practice location in Grafton.

NPPES Registry Identity

NPI1114110905

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTACY LYNN WELLMANCredential: MS RD LD

Location Address150 MEMORIAL DRKingwood, WV 26537-1141

Mailing Address150 Memorial DrKingwood, WV 26537-1141 · (304) 329-1400

Phone(304) 329-1400

Sole ProprietorNo

Enumeration DateAugust 24, 2007

Last NPPES UpdateOctober 12, 2026

NPPES CertifiedOctober 12, 2026

✔ NPI 1114110905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WV · 481

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

150 MEMORIAL DR, Kingwood, WV 26537

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Secondary Practice Location 1

Location 1500 Market StGrafton, WV 26354-1184 · Phone (304) 265-6436

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRESTON MEMORIAL HOSPITAL CORPORATION

General Acute Care Hospital (Critical Access)