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NPI Code Detail

MEDICARE: MRS. ALEXANDRA CARPENTER STALLINGS MS, RD, LD

MEDICARE: MRS. ALEXANDRA CARPENTER STALLINGS MS, RD, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianGA

General Provider Information

NPI Number : 1245804731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEXANDRA CARPENTER STALLINGS MS, RD, LD
Provider Business Mailing Address
First Line : 3724 JEFFERSON ST STE 104
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6204
Country : US
Telephone Number : 512-693-7045
Fax Number : 512-399-9039
Provider Business Practice Location Address
First Line : 3724 JEFFERSON ST STE 104
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6204
Country : US
Telephone Number : 512-693-7045
Fax Number : 512-399-9039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2021
Last Update Date : 06/15/2026

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