MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) – Registered Dietitian, NPI 1629621362

Registered Dietitian

MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) is a healthcare provider. based in Decatur, Alabama. specializing in Registered Dietitian. They hold the professional credentials MS, RDN, LDN. They hold a License No. 2233 (AL). The NPI Number for MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) is 1629621362

Main info

Female

14 Years Of Experience

Accepts Medicare Assignment

Name

MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN)

NPI

1629621362

Phone

(256) 340-0012

Address

1216 SOMERVILLE RD SE

Enumeration Date

22 July 2019

Last Update Date

22 July 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2563400012

Graduation Year

2012 (14 years ago)

PAC ID

5597096214

Group Practice PAC ID

4082682745

Professional Enrollment ID

I20191010002801

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN)

1216 SOMERVILLE RD SE
DECATUR, AL 356014335
Phone: (256) 340-0012
Fax: (256) 340-1408
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4082682745View full group profile

Name	Specialty	State
NIDHI JINDAL (MD)	Internal Medicine, Nephrology	AL
AVRA RATLIFF ADAIR (CRNP)	Nurse Practitioner	AL
KUNAL BHUTA	N E P H R O L O G Y	NY
HOLLY BERRYMAN BACKE (CRNP)	Nurse Practitioner	AL
LESLIE DAILEY (CRNP)	Nurse Practitioner	AL
MR. REGINALD DWAIN GLADISH (MD)	N E P H R O L O G Y	AL
MRS. CONSTANCE MARIE SCHNEIDER (ACNP)	-	AL

Reviews

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Frequently asked questions

Can I verify MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) with an NPI only?

You can start verification with NPI 1629621362 for MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN), then check state licensing separately.

Can I rely on MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) being an active provider?

As of the registry snapshot, MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) is marked active.

What healthcare role does MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) hold?

Scheduling teams often label MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) under Registered Dietitian. Clinical services aligned with this taxonomy classification.

Where is MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) based?

MRS. STACEY DUNN ETHRIDGE (MS, RDN, LDN) is tied to Decatur, Alabama in the data we show; additional addresses may exist on the full record.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.