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

Individual provider Nutritionist · NPI 1679152862

Stephanie Nelson Petrosky, RDN is registered under Registered Dietitian OR Nutrition Professional in Davie, Florida. Qualified in 2009, 17 years ago. Practices with Nova Southeastern University Inc, a 94-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2021
Specialties on file
3
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-1597
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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 ND000373 (FL)
Nutritionist Taxonomy 133N00000X · Licence ND000373 (FL)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence ND000373 (FL)

Record details

NPI number1679152862
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Nova Southeastern University Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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