Individual provider · Type 1 NPI

Stephanie Shadden Roark, RD

Registered Dietitian · Johnson City, TN

NPI number 1639873235 Active

Practice location

325 N State Of Franklin Rd Fl 1
Johnson City, TN 37604-6056

Call (423) 439-7272 Map

Fax (423) 439-7235

Mailing address

950 Shadden Rd
Gray, TN 37615-4240

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X4588 (TN)

Registered Dietitian: 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…

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About NPI 1639873235

Stephanie Shadden Roark, RD's National Provider Identifier is 1639873235, issued on Mar 28, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Johnson City, TN. The record was last updated on Jan 25, 2024.