SHAWNEL STACY RD
NPI 1730650409
Dietitian, Registered in Layton, UT

Q: What is Shawnel Stacy's NPI number?

The NPI number for Shawnel Stacy is 1730650409. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Q: What is Shawnel Stacy'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 Shawnel Stacy was last updated on December 6, 2018. 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 December 06, 2018

201 W LAYTON PKWY, LAYTON, UT 84041(801) 543-6089 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shawnel Stacy Rd NPPES

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

SHAWNEL STACY RD (NPI 1730650409) is an individual dietitian, registered in Layton, Utah and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1730650409

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSHAWNEL STACYCredential: RD

Location Address201 W LAYTON PKWYLayton, UT 84041-3692

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180

Phone(801) 543-6089

Sole ProprietorNo

Enumeration DateDecember 6, 2018

✔ NPI 1730650409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

201 W LAYTON PKWY, Layton, UT 84041

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawnel Stacy Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Ihc Health Services Inc

Same address

Obstetrics & Gynecology

201 W LAYTON PARKWAY
Layton, UT 84041

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1053832501 (801) 442-1853

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.

ERIC J HARTMAN OT

Occupational Therapist