Active NPI
Ashley Jarvis, RDN
- Registered Dietitian
- Holly Springs, NC
National Provider Identifier
1114457298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006165
- Practice address
- 300 S Main St Ste 212
Holly Springs, NC 27540-4201 - Phone
- (919) 616-0259
- NPI assigned
- Jun 12, 2017
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L006165 | NC | Primary |
| Registered Dietitian | 133V00000X | DI100000798 | DC |
Addresses
Primary practice location
300 S Main St Ste 212
Holly Springs, NC 27540-4201
Mailing address
217 Elmcrest Dr
Holly Springs, NC 27540-7402
Phone (919) 616-0259
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L006165 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1114457298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 ELMCREST DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407402",
"telephone_number": "919-616-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S MAIN ST STE 212",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404201",
"telephone_number": "919-616-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "ASHLEY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2024-07-02",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006165",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI100000798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.