MEDABOLIX, INC.
NPI 1780898072
Dietitian, Registered in Charleston, WV

Active since May 09, 2007
600 TRACY WAY, SUITE 200, CHARLESTON, WV 25311(304) 347-4313(304) 347-4316 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dietitian, Registered

About MEDABOLIX, INC.

This page provides the complete NPI Profile along with additional information for Medabolix, Inc., a provider established in Charleston, West Virginia operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1780898072 assigned on May 2007. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Daniel Stickler Ii M.d. (President Ceo)

NPI
1780898072 Verify this NPI
Provider Name
MEDABOLIX, INC.
Entity Type
Organization
Location Address
600 TRACY WAY SUITE 200 CHARLESTON, WV 25311
Location Phone
(304) 347-4313
Location Fax
(304) 347-4316
Mailing Address
600 TRACY WAY SUITE 200 CHARLESTON, WV 25311
Mailing Phone
(304) 347-4313
Mailing Fax
(304) 347-4316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL STICKLER II M.D.

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(304) 347-4313

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780898072, enumerated as an "organization" on May 09, 2007.

The provider is located at 600 TRACY WAY SUITE 200 CHARLESTON, WV 25311 and the phone number is (304) 347-4313.

Dietitian, Registered with taxonomy code 133V00000X.