Stacy Back, MS,RD,LD
NPI 1457768699ActiveIndividual· Dietitian, Registered· Somerset, KY
Dietitian, Registered (MS,RD,LD) in Somerset, Kentucky, licensed in KY, with an NPI issued in July 2014.
Overview
| NPI | 1457768699 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS,RD,LD |
| Sole proprietor | Yes |
| NPI issued | Jul 21, 2014 |
| Last updated in NPPES | Jul 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1384 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 17 registered dietitians in Somerset · All registered dietitians in Kentucky