Active NPI
Sierra Fawn Guay, MS, RDN, CBIS
- Registered Dietitian
- Winterville, NC
National Provider Identifier
1093258204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005288
- Practice address
- 4448 Surrey Meadows Dr
Winterville, NC 28590-9834 - Phone
- (207) 844-4353
- NPI assigned
- Nov 21, 2016
- Sex
- Female
- 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 | L005288 | NC | Primary |
Addresses
Primary practice location
4448 Surrey Meadows Dr
Winterville, NC 28590-9834
Mailing address
4448 Surrey Meadows Dr
Winterville, NC 28590-9834
Phone (207) 844-4353
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005288 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Nutrition, PLLC | 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 and National Provider Directory roles.
-
- Registered Dietitian
- Colchester, VT
- NPI 1205103017
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577232000000",
"number": "1093258204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4448 SURREY MEADOWS DR",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909834",
"telephone_number": "207-844-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4448 SURREY MEADOWS DR",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909834",
"telephone_number": "207-844-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUAY",
"first_name": "SIERRA",
"middle_name": "FAWN",
"credential": "MS, RDN, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2019-12-25",
"certification_date": "2019-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winterville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.