What is Wayne Stackhouse's NPI number?

Wayne Stackhouse's National Provider Identifier (NPI) is 1073404380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Wayne Stackhouse's specialty?

Wayne Stackhouse is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).

Where is Wayne Stackhouse located?

Wayne Stackhouse's practice location on file with NPPES is 3213 N 27th St, Philadelphia, PA 19129-1808.

What is Wayne Stackhouse's phone number?

The practice phone number listed in the NPPES registry for Wayne Stackhouse is (267) 742-4163.

Is Wayne Stackhouse's NPI active?

Yes — Wayne Stackhouse's NPI (1073404380) is active in the NPPES registry as of the last update on 2025-07-14.

IndividualActive

Wayne Stackhouse

NPI 1073404380 · Nutritionist · Philadelphia, PA

Wayne Stackhouse is a Nutritionist provider in Philadelphia, PA (NPI 1073404380).

Provider details

NPI number: 1073404380
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

NutritionistPrimary133N00000X
Dietary & Nutritional Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3213 N 27th St

Philadelphia, PA 19129-1808

Phone: (267) 742-4163

Fax: (267) 742-4163

Street-level locationGet directions

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Mailing address