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

Stacey Walsemann, RD, CDN

Individual provider Registered Dietitian · NPI 1639059702

Stacey Walsemann, RD, CDN is a Registered Dietitian OR Nutrition Professional in Lowville, New York. Qualified in 2014, 12 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

7785 N State St
Lowville, NY 13367-1229
Phone: (315) 376-5081
Show map & directions

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

Additional practice locations (1)

  • 4669 Zecher Rd, Carthage, NY 13619-6017 — (315) 771-0475

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 009548 (NY)

Record details

NPI number1639059702
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDN
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address4669 Zecher Rd, Carthage, NY 13619-6017

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare