STACEY MATAVULI
NPI 1144433764
Dietitian, Registered in Bloomington, IN

Active since May 08, 2007
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-9568(812) 353-9318 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Matavuli NPPES

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

STACEY MATAVULI (NPI 1144433764) is an individual dietitian, registered in Bloomington, Indiana, licensed in Indiana (37001049A) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1144433764
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTACEY MATAVULI
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing Address601 W 2nd StBloomington, IN 47403-2317 · (812) 353-9568 · Fax (812) 353-9318
Fax(812) 353-9318
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1144433764 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 IN · 37001049A
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.

601 W 2ND ST, Bloomington, IN 47403

Other Identifiers 1

Other37001049AIN · State License

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.

Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
601 W 2ND ST
BLOOMINGTON, IN 47403
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403

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 Stacey Matavuli's NPI number?

The NPI number for Stacey Matavuli is 1144433764. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Stacey Matavuli located?

Stacey Matavuli practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-9568.

What is Stacey Matavuli's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Matavuli was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.