Individual provider Active NPI

Laura Henson, RD, LDN

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1083262802
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004206 Issued in NC
Practice address
1042 Washington St
Raleigh, NC 27605-1258
Phone
(919) 781-4500
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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 L004206 NC Primary

Addresses

Primary practice location

1042 Washington St
Raleigh, NC 27605-1258

Mailing address

3814 Zenith PL
Durham, NC 27705-2118
Phone (304) 543-8781

Other practice location 1

3616 Shannon Rd Ste 200
Durham, NC 27707-1082
Phone (919) 781-4500

Other practice location 2

2310 S Miami Blvd Ste 236
Durham, NC 27703-4900
Phone (919) 781-4500

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
L004206NCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1083262802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 ZENITH PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052118",
            "telephone_number": "304-543-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051258",
            "telephone_number": "919-781-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3616 Shannon Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277071082",
            "country_code": "US",
            "telephone_number": "919-781-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 S Miami Blvd Ste 236",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277034900",
            "country_code": "US",
            "telephone_number": "919-781-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "LAURA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004206",
            "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 Aug 27, 2019; 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.