Provider Demographics
NPI:1154296242
Name:ALLAY PEDIATRIC NUTRITION
Entity type:Organization
Organization Name:ALLAY PEDIATRIC NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:360-334-5025
Mailing Address - Street 1:3880 BIRD RD APT 831
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1547
Mailing Address - Country:US
Mailing Address - Phone:360-334-5025
Mailing Address - Fax:253-369-5611
Practice Address - Street 1:3880 BIRD RD APT 831
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1547
Practice Address - Country:US
Practice Address - Phone:360-334-5025
Practice Address - Fax:253-369-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Single Specialty