Organization Active NPI

Carolina Nutritional Services LLC

  • Registered Dietitian
  • Waynesville, NC
National Provider Identifier
1093524746
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CAROLINA NUTRITIONAL SERVICES LLC
Practice address
37 Church St Ste 2200
Waynesville, NC 28786-5708
Phone
(828) 736-4905
Fax
(828) 285-1296
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Diana Laursen, RDNNPI 1811721483
Title
Owner
Phone
(828) 736-4905

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 Primary

Addresses

Primary practice location

37 Church St Ste 2200
Waynesville, NC 28786-5708

Mailing address

190 Bobcat TRL
Clyde, NC 28721-9443
Phone (828) 736-4905

Other practice location 1

190 Bobcat Trl
Clyde, NC 28721-9443
Phone (828) 736-4905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331001104 NC Part B Supplier - Clinic/Group Practice 6507389632 Receives reassigned benefits from 1 practitioner
Practice locations: Waynesville, NC

National Provider Directory

National Provider Directory

Locations

37 Church St
Ste 2200
Waynesville, NC 28786
Phone (828) 736-4905

Practitioners & affiliated clinicians

Practitioners 1

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": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1093524746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BOBCAT TRL",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219443",
            "telephone_number": "828-736-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CHURCH ST STE 2200",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287865708",
            "telephone_number": "828-736-4905",
            "fax_number": "828-285-1296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Bobcat Trl",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287219443",
            "country_code": "US",
            "telephone_number": "828-736-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA NUTRITIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "LAURSEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-736-4905",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.