Organization Active NPI

Nutrition in Motion

  • Registered Dietitian
  • Wilmington, NC
National Provider Identifier
1174800577
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L001969 Issued in 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
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

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

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X L001969 NC Primary

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

20 Medical Campus Dr NW Ste 206
Supply, NC 28462-4094
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

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

Other practice location 4

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

Other practice location 5

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

Other practice location 6

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, FL3 enrollments

Enrollment records 3

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

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

2153 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 321-7246

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

4200 Morganton Rd
#2001
Fayetteville, NC 28314

14980 US Highway 17
#205
Hampstead, NC 28443

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

20 Medical Campus Dr NW
Supply, NC 28462
Phone (910) 755-5861

20 Medical Campus Dr NW
Ste 206
Supply, NC 28462
Phone (910) 754-5453

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

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

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

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

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1174800577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-239-3562",
            "fax_number": "877-889-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-239-3562",
            "fax_number": "877-889-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Medical Campus Dr NW Ste 206",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624094",
            "country_code": "US",
            "telephone_number": "910-239-3562",
            "fax_number": "877-889-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Salter Path Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Pine Knoll Shores",
            "state": "NC",
            "postal_code": "285126136",
            "country_code": "US",
            "telephone_number": "910-239-3562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Medical Campus Dr NW Ste 206",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624094",
            "country_code": "US",
            "telephone_number": "910-239-3562",
            "fax_number": "877-889-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Morganton Rd # 200-1",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283141588",
            "country_code": "US",
            "telephone_number": "910-239-3562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14980 US Highway 17 Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284433390",
            "country_code": "US",
            "telephone_number": "910-239-3562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Valencia Dr Ste 156",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466315",
            "country_code": "US",
            "telephone_number": "910-239-3562",
            "fax_number": "877-889-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITION IN MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2023-11-30",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "VIEREGGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-239-3562",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,RD,LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.