Provider Demographics
NPI:1871468959
Name:STAHL, LINDSEY ELYSE (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ELYSE
Last Name:STAHL
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADIET.DI.70013358133V00000X
OR10260244133V00000X
FLND14356133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered