Kristen Bryda Beach, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L009232 Issued in NC

Practice address

608 Scales Towne Court
Raleigh, NC 27608

Phone

(831) 206-4309

NPI assigned

Nov 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kristen Elizabeth Byda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1093043341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SCALES TOWNE COURT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27608",
            "telephone_number": "831-206-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SCALES TOWNE COURT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27608",
            "telephone_number": "831-206-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "KRISTEN",
        "middle_name": "BRYDA",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "00982532",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BYDA",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nekita Danette Beach
• Jessica Ann Beal
• Selena Beal, PA
• David Calvin Beall, PA
• Shannon Kathleen Beall, LCSW

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.