Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Lorraine Stacy, MS, RD, CDN

Individual provider Registered Dietitian · NPI 1053539023

Amy Lorraine Stacy, MS, RD, CDN is a Registered Dietitian OR Nutrition Professional in Brockport, New York. Qualified in 1989, 37 years ago. Practices with The Unity Hospital of Rochester, a 732-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

156 W Ave
Brockport, NY 14420-1229
Phone: (585) 395-6095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 000777-1 (NY)

Record details

NPI number1053539023
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDN
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice The Unity Hospital Of Rochester — 732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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