At Home Nutrition
Organization Active NPI Registered Dietitian · Clayton, NC
NPI 1093152167 · NPPES record last updated Jul 2, 2013
Key facts
- NPI
- 1093152167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- L002584 (NC)
- Legal business name
- AT HOME NUTRITION
- Practice address
- 78 Tuscarora LN
Clayton, NC 27520-7367 - Phone
- (919) 576-0079
- Fax
- (919) 516-0917
- NPI assigned
- May 30, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karen J. Gleason, RD, LDN
- Title
- Owner/Dietitian
- Phone
- (919) 257-8480
Practitioners 2
-
Karen Jean Gleason, RD, LDN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130702000610 | NC | Part B Supplier - Clinic/Group Practice | 5496995011 |
Receives reassigned benefits from 2 practitioners Practice locations: Clayton, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist |
133N00000X | L002584 | NC | |
| Nutrition Education Nutritionist |
133NN1002X | L002584 | NC | |
| Registered Dietitian |
133V00000X | L002584 | NC | Yes |
| Renal Nutrition Registered Dietitian |
133VN1005X | L002584 | NC | |
| Metabolic Nutrition Registered Dietitian |
133VN1006X | L002584 | NC |
Addresses
Primary practice location
78 Tuscarora LN
Clayton, NC 27520-7367
Mailing address
78 Tuscarora LN
Clayton, NC 27520-7367
Phone (919) 576-0079
Other providers in Clayton, NC
- Anuvu Consulting Group
- Christina Arackal
- Ashay Counseling Agency
- Tsion Assefa
- Associated Urologists of North Carolina PA
- Benjamin Granger Atkeson
- Atlantic Music Therapy, Inc.
- Alyssa Attaway
- Autism Innovations, LLC
- Amy Huber Aycock
All providers in Clayton, NC · Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.