DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACI DIANE HENDRICKSON, RD

Active Sole Proprietor

STACI DIANE HENDRICKSON, RD is a Registered Dietitian healthcare provider located in LAWRENCE, Kansas. NPI 1295064574 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · LAWRENCE, KS

Registration Details

NPI Number
1295064574
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2009 (16.621373779123 yrs)
Last Updated
May 8, 2015
License
000947 (KS)
Sole Proprietor
Yes

Practice Information

Address
4930 OVERLAND DR
LAWRENCE, KS, 660494132
Browse KS providers · Browse ZIP 66049
Phone
7857604501
Fax
7857271805
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in LAWRENCE, KS

Name Credential NPI
ANN CHAPMAN R.D. 1528168341
AMY MICHELLE BEUTLER R.D. 1255487401
NANCY ANN DONAHEY RD, LD, CDE 1053454736
LINDA RIPPETOE DIETITIAN 1093920720
MS. HEATHER FIORE MS ED, RD, LD, CDE 1801079116
DR. VIRGINIA CASS RYAN PHD, RD, LD 1518122878
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.