Sally Jane Stegemann, R.D.
Dietitian, Registered in Columbia, MO. Individual provider (NPI-1).
NPI number1265629422
StatusActive
Last updated in NPPESJun 25, 2008
Details
- NPI
- 1265629422
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sally Jane Stegemann
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2007
- Last updated
- Jun 25, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2005039286 | MO | Yes |
Other names
- Sally Jane Keller (Former Name)
Practice location
3610 Buttonwood DrSuite 200
Columbia, MO 65201-3721
Phone 573-489-7997
Mailing address
1508 Killian CtColumbia, MO 65203-5106
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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