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

Mrs. Stephanie Shadden Roark, RD

Individual provider Registered Dietitian · NPI 1639873235

Mrs. Stephanie Shadden Roark, RD is a Registered Dietitian in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

325 N State Of Franklin Rd Fl 1
Johnson City, TN 37604-6056
Phone: (423) 439-7272
Fax: (423) 439-7235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 4588 (TN)

Record details

NPI number1639873235
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

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