Individual provider Active NPI

Janet Williams

  • Renal Nutrition Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1114391018
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
L000025 Issued in NC
Practice address
8081 Arco Corporate Dr Ste 130
VA Dialysis Clinic at Brier Creek
Raleigh, NC 27617-2042
Phone
(919) 286-5220
Fax
(919) 285-5221
NPI assigned
Nov 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X L000025 NC Primary

Addresses

Primary practice location

8081 Arco Corporate Dr Ste 130
VA Dialysis Clinic at Brier Creek
Raleigh, NC 27617-2042

Mailing address

8081 Arco Corporate Dr Ste 130
VA Dialysis Clinic at Brier Creek
Raleigh, NC 27617-2042
Phone (919) 286-5220

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L000025NCMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1114391018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 ARCO CORPORATE DR STE 130",
            "address_2": "VA DIALYSIS CLINIC AT BRIER CREEK",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172042",
            "telephone_number": "919-286-5220",
            "fax_number": "919-285-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 ARCO CORPORATE DR STE 130",
            "address_2": "VA DIALYSIS CLINIC AT BRIER CREEK",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172042",
            "telephone_number": "919-286-5220",
            "fax_number": "919-285-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NC",
            "license": "L000025",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 17, 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.