Organization Active NPI

Illuminate Cultural Nutrition and Wellness LLC

Doing business as CNR Nutrition

  • Registered Dietitian
  • Cary, NC
National Provider Identifier
1093457889
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ILLUMINATE CULTURAL NUTRITION AND WELLNESS LLC
Doing business as
CNR Nutrition
Gutwellness
Pediatric Allergy Solutions1 more in Other names
Practice address
140 Towerview CT Ste 102
Cary, NC 27513-3595
Phone
(910) 290-6479
NPI assigned
Apr 12, 2022
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Willande Unelus, MA, RD, LDN, CHNNPI 1538814173
Title
Registered Dietitian
Phone
(973) 573-8609

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 Dietitian 133V00000X NU Primary

Addresses

Primary practice location

140 Towerview CT Ste 102
Cary, NC 27513-3595

Mailing address

104 Southwold Dr
Cary, NC 27519-5933
Phone (973) 573-8609

Other names 4

  • CNR Nutrition Doing business as
  • GUTWELLNESS Doing business as
  • Pediatric Allergy Solutions Doing business as
  • Willande Nutrition Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1093457889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SOUTHWOLD DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195933",
            "telephone_number": "973-573-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TOWERVIEW CT STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133595",
            "telephone_number": "910-290-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE CULTURAL NUTRITION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "UNELUS",
        "authorized_official_first_name": "WILLANDE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "973-573-8609",
        "authorized_official_credential": "MA, RD, LDN, CHN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNR Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GUTWELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Allergy Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willande Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.