Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073404380 Individual Practitioner Male Practitioner

Wayne Anthony Stackhouse

Nutritionist • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Wayne Stackhouse is a registered healthcare professional specializing in Nutritionist in Philadelphia, PA. Practice services are available at 3213 N 27TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3213 N 27th St

Philadelphia, PA 191291808

Telephone 2677424163
Fax 2677424163

Specialty Benchmarks & Practice Insights

Comparative analytics for Nutritionist in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Philadelphia, PA (146 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-07-14
Nutritionist Primary Specialty

NUCC Taxonomy Code: 133N00000X

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2025

Registered at 3213 N 27TH ST, PHILADELPHIA, PA 191291808 (Tel: 2677424163)

📍
Updated Business Mailing Address July 14, 2025

Registered at 3213 N 27TH ST, PHILADELPHIA, PA 191291808 (Tel: 2677424163)

👤
Provider Name / Credentials Updated July 14, 2025

Recorded as WAYNE STACKHOUSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2025

Nutritionist

🟢
Initial NPI Registration & Enumeration July 14, 2025

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: 1073404380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2025
Last Update: July 14, 2025
Sole Proprietor: Yes

Mailing Address

3213 N 27th St

Philadelphia, PA 191291808

Phone: 2677424163

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.