STEPHANIE MARIE VANDE BRAKE R.D., L.D
NPI 1841619046
Dietitian, Registered in Coralville, IA

Q: What is Stephanie Vande Brake's NPI number?

The NPI number for Stephanie Vande Brake is 1841619046. It was assigned to this individual provider in the NPPES registry on April 15, 2014. The provider is also known as Stephanie Marie Potratz R.D., L.D..

Q: What is Stephanie Vande Brake's specialty?

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

Active since April 15, 2014

1914 8TH ST, CORALVILLE, IA 52241(319) 351-5523 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stephanie Marie Vande Brake R.d., L.d NPPES

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

STEPHANIE MARIE VANDE BRAKE R.D., L.D (NPI 1841619046) is an individual dietitian, registered in Coralville, Iowa, licensed in Iowa (002142) and active in the NPI registry since April 2014. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1841619046

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTEPHANIE MARIE VANDE BRAKECredential: R.D., L.D

Location Address1914 8TH STCoralville, IA 52241-1612

Mailing Address1914 8th StCoralville, IA 52241-1612 · (319) 351-5523

Phone(319) 351-5523

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 15, 2014

Last NPPES UpdateAugust 5, 2014

✔ NPI 1841619046 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 IA · 002142

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.

1914 8TH ST, Coralville, IA 52241

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Other Names 1

Former Name (1)Stephanie Marie Potratz R.d., L.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Marie Vande Brake R.d., L.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426498684

PECOS Enrollment IDI20240504000395

Other Providers at the Same Location NPPES 10

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

BRITTANY URBANIAK

Pharmacist