NPIMap

Nutrition in Motion

Organization Active NPI Registered Dietitian · Wilmington, NC

NPI 1174800577 · NPPES record last updated Nov 30, 2023

Key facts

NPI
1174800577
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
License
L001969 (NC)
Legal business name
NUTRITION IN MOTION
Practice address
2517 Delaney Ave
Wilmington, NC 28403-6003
Phone
(910) 239-3562
Fax
(877) 889-2993
NPI assigned
Nov 14, 2011
Organization subpart
No

Authorized official

Name
Mrs. Sonia Vieregge Kennedy, MS,RD,LDN NPI 1548592892
Title
Owner
Phone
(910) 239-3562

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in NC, SC, FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120515000166 NC Part B Supplier - Clinic/Group Practice 8123281938 Receives reassigned benefits from 17 practitioners
Practice locations: Fayetteville, NC; Jacksonville, NC; Pine Knoll Shores, NC; Supply, NC; Wilmington, NC
O20211027002643 SC Part B Supplier - Clinic/Group Practice 8123281938 Receives reassigned benefits from 2 practitioners
Practice locations: North Myrtle Beach, SC
O20250515001644 FL Part B Supplier - Clinic/Group Practice 8123281938 Receives reassigned benefits from 3 practitioners
Practice locations: Clearwater, FL

National Provider Directory

Locations

26750 US Highway 19 N
Ste 128
Clearwater, FL 33761

26750 US Highway 19 N
Ste 417
Clearwater, FL 33761
Phone (727) 472-0003

4200 Morganton Rd
#2001
Fayetteville, NC 28314

2153 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 672-0350

2153 Valleygate Dr
Ste 202
Fayetteville, NC 28304
Phone (910) 399-6552

4200 Morganton Rd
Ste 200
Fayetteville, NC 28314
Phone (614) 657-3477

14980 US Highway 17
#205
Hampstead, NC 28443

200 Valencia Dr
Ste 156
Jacksonville, NC 28546

320 Salter Path Rd
Ste D
Pine Knoll Shores, NC 28512

2517 Delaney Ave
Wilmington, NC 28403
Phone (910) 251-7755

1133 Medical Center Dr
Wilmington, NC 28401
Phone (910) 763-0931

1908 Eastwood Rd
Ste 321
Wilmington, NC 28403
Phone (910) 352-0361

1016 2nd Ave N
Ste 206G
North Myrtle Beach, SC 29582

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP		 133V00000X L001969 NC Yes

Addresses

Primary practice location

2517 Delaney Ave
Wilmington, NC 28403-6003

Mailing address

2517 Delaney Ave
Wilmington, NC 28403-6003
Phone (910) 239-3562

Other practice location 1

200 Valencia Dr Ste 156
Jacksonville, NC 28546-6315
Phone (910) 239-3562

Other practice location 2

320 Salter Path Rd Ste D
Pine Knoll Shores, NC 28512-6136
Phone (910) 239-3562

Other practice location 3

4200 Morganton Rd # 200-1
Fayetteville, NC 28314-1588
Phone (910) 239-3562

Other practice location 4

14980 US Highway 17 Ste 205
Hampstead, NC 28443-3390
Phone (910) 239-3562

Other practice location 5

20 Medical Campus Dr NW Ste 206
Supply, NC 28462-4094
Phone (910) 239-3562

Other practice location 6

20 Medical Campus Dr NW Ste 206
Supply, NC 28462-4094
Phone (910) 239-3562

Other providers in Wilmington, NC

All providers in Wilmington, NC · Registered Dietitian in North Carolina

Sources for this page

Verify at the official NPI Registry.