Active NPI
Eat Good, Feel Good LLC
- Registered Dietitian
- Southport, NC
National Provider Identifier
1043820624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- EAT GOOD, FEEL GOOD LLC
- Practice address
- 2850 Irwin Dr
Southport, NC 28461-8470 - Phone
- (862) 268-4375
- NPI assigned
- Aug 7, 2020
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie L Clegg, RD
- Title
- Owner/Operator
- Phone
- (862) 268-4375
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2850 Irwin Dr
Southport, NC 28461-8470
Mailing address
2850 Irwin Dr
Southport, NC 28461-8470
Phone (862) 268-4375
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043820624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 IRWIN DR",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284618470",
"telephone_number": "862-268-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 IRWIN DR",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284618470",
"telephone_number": "862-268-4375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAT GOOD, FEEL GOOD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-22",
"certification_date": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLEGG",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "862-268-4375",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.