Active NPI
Vested Nutrition
- Registered Dietitian
- Cary, NC
National Provider Identifier
1114642758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- VESTED NUTRITION
- Practice address
- 111 James Jackson Ave Ste 101
Cary, NC 27513-3598 - Phone
- (757) 585-3441
- Fax
- (888) 972-7994
- NPI assigned
- Oct 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Ha
- Title
- RDN/Owner/Ceo
- Phone
- (910) 494-3874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
111 James Jackson Ave Ste 101
Cary, NC 27513-3598
Mailing address
1309 Jamestown Rd
Williamsburg, VA 23185-3380
Phone (757) 585-3441
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WWW.LWell.com |
National Provider Directory
National Provider DirectoryLocations
111 James Jackson Ave
Ste 101
Cary, NC 27513
Phone (919) 651-0050
Practitioners & affiliated clinicians
Practitioners 1
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": "1665014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665014400000",
"number": "1114642758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 JAMESTOWN RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853380",
"telephone_number": "757-585-3441",
"fax_number": "888-972-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 JAMES JACKSON AVE STE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275133598",
"telephone_number": "757-585-3441",
"fax_number": "888-972-7994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VESTED NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A",
"authorized_official_last_name": "HA",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "RDN/OWNER/CEO",
"authorized_official_telephone_number": "910-494-3874"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WWW.LWell.com",
"affiliation": "N",
"address_1": "111 James Jackson Ave Ste 101",
"city": "Cary",
"state": "NC",
"country_code": "US",
"postal_code": "275133598",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.