Stephanie Nelson Petrosky, RDN
NPI 1679152862ActiveIndividual· Dietitian, Registered· Davie, FL
Dietitian, Registered (RDN) with Nova Southeastern University Inc, practicing in Davie, Florida. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1679152862 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | No |
| NPI issued | Apr 5, 2021 |
| Last updated in NPPES | Apr 5, 2021 |
| Certified by provider | Apr 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | ND000373 | FL |
| Nutritionist | 133N00000X | ND000373 | FL |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | ND000373 | FL |
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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (FL) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Nova Southeastern University IncPlantation, FL · 99 clinicians
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All 28 registered dietitians in Davie · All registered dietitians in Florida