Active NPI
William Henry Harrison Chapman IV, MPH, RD, RDN
- Registered Dietitian
- Greenville, NC
National Provider Identifier
1063925345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005349
- Practice address
- 3404A Ellsworth Dr
Greenville, NC 27834-2133 - Phone
- (252) 414-4054
- NPI assigned
- Nov 9, 2017
- Last updated
- Mar 17, 2018
- 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 | L005349 | NC | Primary |
Addresses
Primary practice location
3404A Ellsworth Dr
Greenville, NC 27834-2133
Mailing address
3404A Ellsworth Dr
Greenville, NC 27834-2133
Phone (252) 414-4054
Other practice location 1
106 Benwall Ct
Chapel Hill, NC 27516-8950
Phone (252) 414-4054
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
| License | State | Type | Specialty |
|---|---|---|---|
| L005349 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1063925345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404A ELLSWORTH DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342133",
"telephone_number": "252-414-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404A ELLSWORTH DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342133",
"telephone_number": "252-414-4054"
}
],
"practiceLocations": [
{
"address_1": "106 Benwall Ct",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275168950",
"country_code": "US",
"telephone_number": "252-414-4054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAPMAN",
"first_name": "WILLIAM",
"middle_name": "HENRY HARRISON",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "MPH, RD, RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.