Active NPI
Callie R Huneycutt, RD, LDN
- Registered Dietitian
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004992
- Practice address
- 15 Regional Dr
Pinehurst, NC 28374-8850 - Phone
- (910) 235-3492
- NPI assigned
- Jan 19, 2017
- Last updated
- Mar 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004992 | NC | Primary |
Addresses
Primary practice location
15 Regional Dr
Pinehurst, NC 28374-8850
Mailing address
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511
Other practice location 1
555 Carthage St
Sanford, NC 27330-4104
Phone (919) 774-6518
Other names 1
- Callie E Ricketts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
555 Carthage St
Sanford, NC 27330-4104
Phone (919) 774-6518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
45 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 235-3347
1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878
555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
-
dba Pinehurst Medical Clinic Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
dba PMC Reference Lab
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1144767815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748749",
"telephone_number": "910-295-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 REGIONAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748850",
"telephone_number": "910-235-3492"
}
],
"practiceLocations": [
{
"address_1": "555 CARTHAGE ST",
"address_purpose": "LOCATION",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304104",
"country_code": "US",
"telephone_number": "919-774-6518",
"fax_number": "919-774-1831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNEYCUTT",
"first_name": "CALLIE",
"middle_name": "R",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CALLIE",
"last_name": "RICKETTS",
"middle_name": "E",
"credential": "RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.