NPIMap

Organization Active NPI

Contemporary Nutrition Inc

  • Registered Dietitian
  • Morehead City, NC
National Provider Identifier
1083826317
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
910311 Issued in NC
Legal business name
CONTEMPORARY NUTRITION INC
Practice address
147 NC Highway 24 Ste 101
Morehead City, NC 28557-8982
Phone
(252) 648-8777
Fax
(522) 648-8087
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Mrs. Jaime Lynn Lewis, RD LDNNPI 1932311248
Title
Ceo President
Phone
(252) 648-8777

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 910311 NC Primary

Addresses

Primary practice location

147 NC Highway 24 Ste 101
Morehead City, NC 28557-8982

Mailing address

147 NC Highway 24 Ste 101
Morehead City, NC 28557-8982
Phone (252) 648-8777

Other identifiers 1

IdentifierTypeStateIssuer
1477XOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121115000602 NC Part B Supplier - Clinic/Group Practice 3577714732 Receives reassigned benefits from 5 practitioners
Practice locations: Morehead City, NC; New Bern, NC

National Provider Directory

National Provider Directory

Locations

925 E Main St
Ste 42
Havelock, NC 28532
Phone (252) 444-4022

147 NC Highway 24
Ste 101
Morehead City, NC 28557
Phone (252) 648-8777

1425 S Glenburnie Rd
Ste 7
New Bern, NC 28562
Phone (252) 631-5222

2608 Neuse Blvd
New Bern, NC 28562
Phone (252) 631-5222

Practitioners & affiliated clinicians

Practitioners 7

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1083826317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 NC HIGHWAY 24 STE 101",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285578982",
            "telephone_number": "252-648-8777",
            "fax_number": "252-648-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 NC HIGHWAY 24 STE 101",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285578982",
            "telephone_number": "252-648-8777",
            "fax_number": "522-648-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "252-648-8777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "910311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1477X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.