| Stephanie Susanna Gaston, RDN | |
|
975 E 3rd St, Chattanooga, TN 37403-2147 | |
| (423) 505-4928 | |
| Not Available |
| Full Name | Stephanie Susanna Gaston |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 5 Years |
| Location | 975 E 3rd St, Chattanooga, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649848466 | NPI | - | NPPES |
| 86291517 | Other | TN | COMMISSION ON DIETETIC REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86291517 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yium, Shenouda And Miller Ptrshp | 3274510037 | 44 |
| Provider Name | Yium, Shenouda & Miller Ptrshp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972548089 PECOS PAC ID: 3274510037 Enrollment ID: O20040630000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Susanna Gaston, RDN 3520 Burns Trl, Chattanooga, TN 37419-1202 Ph: () - | Stephanie Susanna Gaston, RDN 975 E 3rd St, Chattanooga, TN 37403-2147 Ph: (423) 505-4928 |
Pamela Jean Kelle, RDN, CEDRD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1238 Hanover St, Chattanooga, TN 37405 Phone: 423-991-3422 | |
Olivia Price, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Riverside Dr Ste 340, Chattanooga, TN 37406 Phone: 865-209-5525 | |
Ausrine Paulauskaite, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 805 Spears Ave, Chattanooga, TN 37405 Phone: 415-975-1986 | |
Miranda Smith, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1920 Chestnut St Apt 321, Chattanooga, TN 37408 Phone: 508-734-0764 | |
Vida Jean Gallaher, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6401 Shallowford Rd, Chattanooga, TN 37421 Phone: 423-893-6500 | |
Courtney Grace Mcmahan, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 Acorn Oaks Cir, Chattanooga, TN 37405 Phone: 423-463-6139 | |
Scenic City Dietetics Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8000 Batters Place Rd, Chattanooga, TN 37421 Phone: 423-240-5182 |