Active NPI
Sheri Defrees Allen, RD, RDN, LDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1114211158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q50654E853 | Other | NC | MEDICARE PTAN |
| Q50654A | Other | NC | MEDICARE 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.