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STACEY DAWN VANG RD/LD
NPI 1679383095
Dietitian, Registered in Nowata, OK

Active since January 08, 2025
1020 LENAPE DR, NOWATA, OK 74048(918) 273-7538 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey Dawn Vang Rd/ld NPPES

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

STACEY DAWN VANG RD/LD (NPI 1679383095) is an individual dietitian, registered in Nowata, Oklahoma, licensed in Oklahoma (2430) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1679383095
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTACEY DAWN VANGCredential: RD/LD
Location Address1020 LENAPE DRNowata, OK 74048-4403
Mailing Address14142 N 73rd East AveCollinsville, OK 74021-4653 · (918) 352-5181
Phone(918) 273-7538
Sole ProprietorNo
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1679383095 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 OK · 2430
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.
1020 LENAPE DR, Nowata, OK 74048
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacey Dirickson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Dawn Vang Rd/ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stacey Vang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Nation
Same address
Multi-Specialty
1020 LENAPE DR
Nowata, OK 74048
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1891703716 (918) 273-0192

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KAYLAN NICOLE REEDER R.N
Registered Nurse (Community Health)
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7558
MATT STEELE
Physical Therapy Assistant
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500
TYLER BLAIR ROGERS NP
Nurse Practitioner (Family)
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500
BAYLEE MOLES
Student in an Organized Health Care Education/Training Program
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500
MATHEW BURNS PHARM D
Pharmacist
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7579
ALEXANDRIA MICAE WOOD RD/LD
Dietitian, Registered
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500
JENNIFER YOUNG LPN
Licensed Practical Nurse
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 316-0365
TASHA SUE LUNSFORD APRN, CNP
Nurse Practitioner (Family)
1020 LENAPE DR, NONE
NOWATA, OK 74048
Nowata County (918) 273-7500

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 Vang's NPI number?

The NPI number for Stacey Vang is 1679383095. It was assigned to this individual provider in the NPPES registry on January 8, 2025. The provider is also known as Stacey Dirickson.

Where is Stacey Vang located?

Stacey Vang practices at 1020 Lenape Dr, Nowata, OK 74048. The listed phone number is (918) 273-7538.

What is Stacey Vang's specialty?

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

Is Stacey Vang enrolled in Medicare?

Yes. Stacey Vang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Vang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Vang reassigns Medicare benefits to Cherokee Nation (Nowata, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Vang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Vang was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.