Active NPI
Carolina Nutritional Services LLC
- Registered Dietitian
- Waynesville, NC
National Provider Identifier
1093524746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Laursen, RDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.