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STACEY ANN VANDERWEL RD, CSP, LDN
NPI 1629231683
Dietitian, Registered - Nutrition, Pediatric in Charlotte, NC

Active since July 09, 2008
505 EAST BLVD, SUITE 200, CHARLOTTE, NC 28203(704) 542-2512 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Ann Vanderwel Rd, Csp, Ldn NPPES

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

STACEY ANN VANDERWEL RD, CSP, LDN (NPI 1629231683) is an individual nutrition, pediatric provider in Charlotte, North Carolina, licensed in North Carolina (L002810) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1629231683
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameSTACEY ANN VANDERWELCredential: RD, CSP, LDN
Location Address505 EAST BLVD, SUITE 200Charlotte, NC 28203-5105
Mailing Address7225 Deloach CtCharlotte, NC 28270-9514 · (704) 340-1604
Phone(704) 542-2512
Sole ProprietorYes
Enumeration DateJuly 9, 2008
✔ NPI 1629231683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in NC · L002810
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
505 EAST BLVD, Charlotte, NC 28203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 4

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

MS. SUSAN ELIZABETH GESSNER MSW
Social Worker (Clinical)
505 EAST BLVD, STE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 337-8139
DR. SHAUNA H CHRISTENSEN-PETERSON DC
Chiropractor
505 EAST BLVD, SUITE 100
CHARLOTTE, NC 28203
Mecklenburg County (704) 347-2888
STEPHANIE HALL L.AC.
Acupuncturist
505 EAST BLVD, SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 378-1390
SHAUNA H. CHRISTENSEN CHIROPRACTIC, INC.
Chiropractor
505 EAST BLVD, SUITE 100
CHARLOTTE, NC 28203
Mecklenburg County (704) 347-2888

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 Vanderwel's NPI number?

The NPI number for Stacey Vanderwel is 1629231683. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Stacey Vanderwel located?

Stacey Vanderwel practices at 505 East Blvd Suite 200, Charlotte, NC 28203. The listed phone number is (704) 542-2512.

What is Stacey Vanderwel's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

What insurance does Stacey Vanderwel accept?

Health plans from Blue Cross and Blue Shield of NC list Stacey Vanderwel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Vanderwel was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.