Diana Davis, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L002639 Issued in NC

Practice address

452 Royal Tern Dr
Hampstead, NC 28443-7175

Phone

(910) 352-2165

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diana Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1205038619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 ROYAL TERN DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437175",
            "telephone_number": "910-352-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 ROYAL TERN DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437175",
            "telephone_number": "910-352-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017356",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-8824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANA",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "DAVIS",
            "credential": "RD, LDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mandy Isaac Croom, RBT
• Amanda D Culp-Roche, APRN
• Daniel G. Miller, DDS, Fagd, PLLC
• Charles W Davis II
• Dennis Wayne Davis Sr., OPTICIAN
• Melissa Richardson Davis, LCSW, LCAS, MSW
• Trisha Ashley Deane, OTR/L
• Paola Beatriz Delgado, MS, CCC-SLP
• Dale Paris Depue, PT
• Diana Davis Nutrition Consulting LLC

• Registered Dietitian in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.