NPIMap

Organization Active NPI

Nutrition Andrea, LLC

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1053696922
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0427 Issued in NC
Legal business name
NUTRITION ANDREA, LLC
Practice address
2631 Lakeview Dr
Raleigh, NC 27609-7632
Phone
(919) 787-8019
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Andrea Groon, RD LDNNPI 1205989498
Title
Owner
Phone
(919) 787-8019

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 0427 NC Primary

Addresses

Primary practice location

2631 Lakeview Dr
Raleigh, NC 27609-7632

Mailing address

2631 Lakeview Dr
Raleigh, NC 27609-7632
Phone (919) 787-8019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1053696922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 LAKEVIEW DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097632",
            "telephone_number": "919-787-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 LAKEVIEW DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097632",
            "telephone_number": "919-787-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION ANDREA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "GROON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-787-8019",
        "authorized_official_credential": "RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "0427",
            "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 Oct 11, 2011; 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.