Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508126475 Individual Practitioner Female Practitioner

Stacy A. Coolbaugh , RD

Dietitian, Registered • Danville, PA

Professional Overview & Biography Verified Profile Summary

Stacy Coolbaugh, RD is a registered healthcare professional specializing in Dietitian, Registered in Danville, PA. Practice services are available at 100 N ACADEMY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 N Academy Ave

Danville, PA 178220115

Telephone 5702716468
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Danville, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
62 Specialists

Practicing in Danville, PA (3119 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License PA DN001156

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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Yelena Share

Dietitian, Registered

NPI 1134602832
Sneha Bandi , MHA, MS, RD

Dietitian, Registered

NPI 1154162998

MHA, Master of Science, Registered Dietitian

Tammy Mccormick , RD

Dietitian, Registered

NPI 1164484481

Registered Dietitian

Casey Campbell , MS, RD, CDN

Dietitian, Registered

NPI 1215565676

Master of Science, Registered Dietitian, CDN

Katerina Nye , MS, RDN, LDN

Dietitian, Registered

NPI 1255070785

Master of Science, Registered Dietitian Nutritionist, Licensed Dietitian Nutritionist

Cortney Repanshek

Nurse Practitioner

NPI 1255867917

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 06, 2018

Registered at 1000 EAST MOUNTAIN DR, WILKES BARRE, PA 18711 (Tel: 5702145681)

📍
Updated Practice Location February 06, 2018

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178220115 (Tel: 5702716468)

👤
Provider Name / Credentials Updated February 06, 2018

Recorded as STACY COOLBAUGH, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Dietitian, Registered (License #DN001156 in PA)

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2012

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178220115 (Tel: 5702716468)

📍
Updated Business Mailing Address May 24, 2012

Registered at 100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 178224903 (Tel: 5702716144)

👤
Provider Name / Credentials Updated May 24, 2012

Recorded as STACY COOLBAUGH, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Dietitian, Registered (License #DN001156 in PA)

🟢
Initial NPI Registration & Enumeration May 24, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508126475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2012
Last Update: February 06, 2018
Sole Proprietor: No

Mailing Address

1000 East Mountain Dr

Wilkes Barre, PA 18711

Phone: 5702145681

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.