Individual provider Active NPI

Sharon Price

  • Nutritionist
  • Raleigh, NC
National Provider Identifier
1164050894
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU000004 Issued in NC
Practice address
6008 Creedmoor Rd
Raleigh, NC 27612-2209
Phone
(919) 844-4552
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU000004 NC Primary

Addresses

Primary practice location

6008 Creedmoor Rd
Raleigh, NC 27612-2209

Mailing address

1404 Battery Dr
Raleigh, NC 27610-2624
Phone (919) 413-6092

Other practice location 1

1404 Battery Dr
Raleigh, NC 27610-2624
Phone (919) 413-6092

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nutrition@beverlymedicalcenter.com Direct

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
NU000004NCMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164050894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BATTERY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102624",
            "telephone_number": "919-413-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122209",
            "telephone_number": "919-844-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Battery Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276102624",
            "country_code": "US",
            "telephone_number": "919-413-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "NU000004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nutrition@beverlymedicalcenter.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "6008 Creedmoor Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276122209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 27, 2023; 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.