Organization Active NPI

Vested Nutrition

  • Registered Dietitian
  • Cary, NC
National Provider Identifier
1114642758
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Oct 6, 2022

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL WWW.LWell.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.