Active NPI
Michael Raynor, MS, RD, LDN
- Registered Dietitian
- Fuquay Varina, NC
National Provider Identifier
1003421132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1441 E Broad St Ste 256
Fuquay Varina, NC 27526-1968 - Phone
- (919) 741-0730
- NPI assigned
- Sep 15, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1441 E Broad St Ste 256
Fuquay Varina, NC 27526-1968
Mailing address
1441 E Broad St Ste 256
Fuquay Varina, NC 27526-1968
Phone (919) 741-0730
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1003421132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 E BROAD ST STE 256",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261968",
"telephone_number": "919-741-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 E BROAD ST STE 256",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261968",
"telephone_number": "919-741-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "MICHAEL",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
- Katrice NMN Rankin Ward, LCMHC
- Robert Shannon Rawls, PHARM D
- Raynor Strength and Nutrition, LLC
- Catherine Smith Raynor, CCC-SLP
- Elizabeth Hurley Raynor, MS, RD, LDN
- RBC Health Care Soultions Inc
- Realo Discount Drug Stores of Eastern North Carolina Inc (Realo Discount Drugs)
- Rebel PT, LLC (Rebel PT)
- Hope Renee Rebeor
- Caitlyn Reece, RN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.