Individual provider Active NPI

Sheri Defrees Allen, RD, RDN, LDN

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1114211158
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003540 Issued in NC
Practice address
4200 Lake Boone TRL
Raleigh, NC 27607-6521
Phone
(919) 784-1371
Fax
(919) 784-1397
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X L003540 NC
Registered Dietitian 133V00000X L003540 NC Primary

Addresses

Primary practice location

4200 Lake Boone TRL
Raleigh, NC 27607-6521

Mailing address

211 Friday Center Dr
Suite 2091, Room 2094 Hedrick Building
Chapel Hill, NC 27517-9499
Phone (984) 974-1191

Other identifiers 2

IdentifierTypeStateIssuer
Q50654E853OtherNCMEDICARE PTAN
Q50654AOtherNCMEDICARE PTAN

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1114211158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FRIDAY CENTER DR",
            "address_2": "SUITE 2091, ROOM 2094 HEDRICK BUILDING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179499",
            "telephone_number": "984-974-1191",
            "fax_number": "984-974-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076521",
            "telephone_number": "919-784-1371",
            "fax_number": "919-784-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHERI",
        "middle_name": "DEFREES",
        "name_prefix": "Ms.",
        "credential": "RD, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": "L003540",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q50654E853",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q50654A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.