Individual provider Active NPI

A. Bryn Boyer, RDN, LDN

  • Registered Dietitian
  • Cary, NC
National Provider Identifier
1043474109
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004587 Issued in NC
Practice address
539 Keisler Dr Ste 101
Cary, NC 27518-9320
Phone
(919) 937-2031
Fax
(984) 480-2913
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004587 NC Primary

Addresses

Primary practice location

539 Keisler Dr Ste 101
Cary, NC 27518-9320

Mailing address

539 Keisler Dr Ste 101
Cary, NC 27518-9320
Phone (919) 937-2031

Other names 1

  • Adrienne Bryn Boyer Professional name

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

LicenseStateTypeSpecialty
L004587NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Nutrition, LLC Dietitian, Registered CurrentSince Oct 9, 2022 Accepting new patients

Locations

539 Keisler Dr
Ste 101
Cary, NC 27518
Phone (919) 870-1001

511 Keisler Dr
Ste 203
Cary, NC 27518
Phone (336) 542-8827

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1043474109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189320",
            "telephone_number": "919-937-2031",
            "fax_number": "984-480-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189320",
            "telephone_number": "919-937-2031",
            "fax_number": "984-480-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "A. BRYN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "BOYER",
            "middle_name": "BRYN",
            "credential": "RDN, LDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.