Active NPI
Shari Mewborn
- Nutrition Support Registered Nurse
- Raleigh, NC
National Provider Identifier
1003264094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Registered Nurse
- License
- 077801
- Practice address
- 7309 Louisburg Rd
Raleigh, NC 27616-6450 - Phone
- (919) 713-0333
- Fax
- (919) 713-0333
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Registered Nurse | 163WN1003X | 077801 | NC | Primary |
Addresses
Primary practice location
7309 Louisburg Rd
Raleigh, NC 27616-6450
Mailing address
7309 Louisburg Rd
Raleigh, NC 27616-6450
Phone (919) 713-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077801 | NC | MD | Nutrition Support Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1003264094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7309 LOUISBURG RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276166450",
"telephone_number": "919-713-0333",
"fax_number": "919-713-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 LOUISBURG RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276166450",
"telephone_number": "919-713-0333",
"fax_number": "919-713-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEWBORN",
"first_name": "SHARI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "NC",
"license": "077801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.