NPIMap

Organization Active NPI

Rdnutrition LLC

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1104642859
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
RDNUTRITION LLC
Practice address
3103 Shannon Rd
Durham, NC 27707-4336
Phone
(919) 865-3869
Fax
(919) 865-3869
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Lindsey Britt
Title
VP of Operations/Delegated Official
Phone
(570) 952-1627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

3103 Shannon Rd
Durham, NC 27707-4336

Mailing address

1025 Wade Ave
Raleigh, NC 27605-1158
Phone (919) 865-3869

Other names 1

  • Loop Nutrition Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250407003565 NC Part B Supplier - Clinic/Group Practice 6305360702 Receives reassigned benefits from 5 practitioners
Practice locations: Winston Salem, NC; Wilmington, NC; Wake Forest, NC; Raleigh, NC; Holly Springs, NC; Morrisville, NC; Burlington, NC; Carrboro, NC…
O20250416000237 SC Part B Supplier - Clinic/Group Practice 6305360702 Receives reassigned benefits from 3 practitioners
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

3103 Shannon Rd
Durham, NC 27707
Phone (888) 265-4003

1025 Wade Ave
Raleigh, NC 27605

11136 Ligon Mill Rd
Wake Forest, NC 27587
Phone (888) 265-4003

1119 Wappoo Rd
Unit L
Charleston, SC 29407
Phone (843) 790-8674

Practitioners & affiliated clinicians

Practitioners 12

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1104642859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WADE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051158",
            "telephone_number": "919-865-3869",
            "fax_number": "919-865-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 SHANNON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074336",
            "telephone_number": "919-865-3869",
            "fax_number": "919-865-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDNUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "VP OF OPERATIONS/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "570-952-1627"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loop Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loop Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.