Active NPI
Monica Marie Nedeff, RDN, LD
- Registered Dietitian
- Winston Salem, NC
National Provider Identifier
1013591015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006375
- Practice address
- 730 Highland Oaks Dr
Winston Salem, NC 27103-7154 - Phone
- (336) 646-7323
- Fax
- (336) 646-7787
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.08857 | OH | |
| Registered Dietitian | 133V00000X | L006375 | NC | Primary |
Addresses
Primary practice location
730 Highland Oaks Dr
Winston Salem, NC 27103-7154
Mailing address
PO Box 604050
Charlotte, NC 28260-4050
Other practice location 1
420 Park Ridge Ln
Apt D
Winston-Salem, NC 27104
Phone (937) 674-7004
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.08857 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NH-CL Clinics, LLC | Current | Accepting new patients | |
| Fig Health, Inc | Dietitian, Registered | Past | Accepting new patients |
Locations
500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115
730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Kernersville, NC
- NPI 1487276499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1013591015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604050",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 HIGHLAND OAKS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037154",
"telephone_number": "336-646-7323",
"fax_number": "336-646-7787"
}
],
"practiceLocations": [
{
"address_1": "420 Park Ridge Ln",
"address_2": "Apt D",
"address_purpose": "LOCATION",
"city": "Winston-Salem",
"state": "NC",
"postal_code": "27104",
"country_code": "US",
"telephone_number": "937-674-7004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEDEFF",
"first_name": "MONICA",
"middle_name": "MARIE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-06",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.08857",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.