MRS. STEPHANIE SHADDEN ROARK RD
NPI 1639873235
Dietitian, Registered in Johnson City, TN

Q: What is Stephanie Roark's NPI number?

The NPI number for Stephanie Roark is 1639873235. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Stephanie Roark'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 Stephanie Roark was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 28, 2023

325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604(423) 439-7272(423) 439-7235 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Stephanie Shadden Roark Rd NPPES

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

MRS. STEPHANIE SHADDEN ROARK RD (NPI 1639873235) is an individual dietitian, registered in Johnson City, Tennessee, licensed in Tennessee (4588) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1639873235

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. STEPHANIE SHADDEN ROARKCredential: RD

Location Address325 N STATE OF FRANKLIN RD FL 1Johnson City, TN 37604-6056

Mailing Address950 Shadden RdGray, TN 37615-4240 · (423) 791-1263

Phone(423) 439-7272

Fax(423) 439-7235

Sole ProprietorNo

Enumeration DateMarch 28, 2023

Last NPPES UpdateJanuary 25, 2024

NPPES CertifiedJanuary 25, 2024

✔ NPI 1639873235 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 TN · 4588

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.

325 N STATE OF FRANKLIN RD FL 1, Johnson City, TN 37604

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Other Identifiers 1

MedicaidQ24385ATN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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.

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