Active NPI
Kerry Marie Lett, RDN, LDN, CLC
- Registered Dietitian
- Cary, NC
National Provider Identifier
1164053559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006050
- Practice address
- 417 Kildaire Farm Rd
Cary, NC 27511-3433 - Phone
- (919) 443-5240
- Fax
- (919) 899-0667
- NPI assigned
- Feb 4, 2020
- 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 | L006050 | NC | Primary |
Addresses
Primary practice location
417 Kildaire Farm Rd
Cary, NC 27511-3433
Mailing address
417 Kildaire Farm Rd
Cary, NC 27511-3433
Phone (919) 443-5240
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
| License | State | Type | Specialty |
|---|---|---|---|
| L006050 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Pediatric & Maternal Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5000 Centre Green Way
Ste 500
Cary, NC 27513
Phone (910) 994-1435
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.
-
- Registered Dietitian
- Cary, NC
- NPI 1437754330
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1164053559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275113433",
"telephone_number": "919-443-5240",
"fax_number": "919-899-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275113433",
"telephone_number": "919-443-5240",
"fax_number": "919-899-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETT",
"first_name": "KERRY",
"middle_name": "MARIE",
"credential": "RDN, LDN, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 1, 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.