Disease Management and Prevention Dietitians PLLC

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Legal business name

DISEASE MANAGEMENT AND PREVENTION DIETITIANS PLLC

Practice address

1100 19TH Ave N Ste 178
Fargo, ND 58102-5906

Phone

(701) 532-1683

NPI assigned

Jul 10, 2020

Last updated

Dec 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie McLeod, LRD, RDN,CDENPI 1700415742

Title

President

Phone

(701) 532-1683

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Carrie A McLeod

  • Metabolic Nutrition Registered Dietitian
  • Fargo, ND
  • NPI 1700415742
  Authorized official Same address or phone

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1205454766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 19TH AVE N STE 178",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581025906",
            "telephone_number": "701-532-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 19TH AVE N STE 178",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581025906",
            "telephone_number": "701-532-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISEASE MANAGEMENT AND PREVENTION DIETITIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-532-1683",
        "authorized_official_credential": "LRD, RDN,CDE"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Metabolic Nutrition Registered Dietitian in Fargo, ND
• Providers in Fargo, ND by specialty
• Metabolic Nutrition Registered Dietitian in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.