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Stacey Ethridge, MS, RDN, LDN
NPI 1629621362 · Registered Dietitian · Decatur, AL
Stacey Ethridge, MS, RDN, LDN is a Registered Dietitian provider in Decatur, AL (NPI 1629621362).
Provider details
- NPI number
- 1629621362
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 2233 (AL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1216 Somerville Rd Se
Decatur, AL 35601-4335
Phone: (256) 340-0012
Fax: (256) 340-1408
Street-level locationGet directions
Mailing address
1216 Somerville Rd Se
Decatur, AL 35601-4335
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2019-07-22
Frequently asked questions
- What is Stacey Ethridge's NPI number?
- Stacey Ethridge's National Provider Identifier (NPI) is 1629621362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Ethridge's specialty?
- Stacey Ethridge is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Stacey Ethridge located?
- Stacey Ethridge's practice location on file with NPPES is 1216 Somerville Rd Se, Decatur, AL 35601-4335.
- What is Stacey Ethridge's phone number?
- The practice phone number listed in the NPPES registry for Stacey Ethridge is (256) 340-0012.
- Is Stacey Ethridge's NPI active?
- Yes — Stacey Ethridge's NPI (1629621362) is active in the NPPES registry as of the last update on 2019-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.