MRS. STACEY DUNN ETHRIDGE MS, RDN, LDN
NPI 1629621362
Dietitian, Registered in Decatur, AL

Q: What is Stacey Ethridge's NPI number?

The NPI number for Stacey Ethridge is 1629621362. It was assigned to this individual provider in the NPPES registry on July 22, 2019. The provider is also known as Ms. Stacey Michelle Dunn.

Q: What is Stacey Ethridge'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 Stacey Ethridge was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 22, 2019

1216 SOMERVILLE RD SE, DECATUR, AL 35601(256) 340-0012(256) 340-1408 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Stacey Dunn Ethridge Ms, Rdn, Ldn NPPES

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

MRS. STACEY DUNN ETHRIDGE MS, RDN, LDN (NPI 1629621362) is an individual dietitian, registered in Decatur, Alabama, licensed in Alabama (2233) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1629621362

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. STACEY DUNN ETHRIDGECredential: MS, RDN, LDN

Location Address1216 SOMERVILLE RD SEDecatur, AL 35601-4335

Mailing Address1216 Somerville Rd SeDecatur, AL 35601-4335 · (256) 340-0012 · Fax (256) 340-1408

Phone(256) 340-0012

Fax(256) 340-1408

Sole ProprietorNo

Enumeration DateJuly 22, 2019

✔ NPI 1629621362 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 AL · 2233

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.

1216 SOMERVILLE RD SE, Decatur, AL 35601

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Other Names 1

Former Name (1)Ms. Stacey Michelle Dunn

Other Providers at the Same Location NPPES 6

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

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