Individual provider Active NPI

Kevin Manbeck, MS, RDN, LDN

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1215715909
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1300 Woodline Dr
Raleigh, NC 27603-8690
Phone
(785) 341-8397
NPI assigned
Sep 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1300 Woodline Dr
Raleigh, NC 27603-8690

Mailing address

1300 Woodline Dr
Raleigh, NC 27603-8690
Phone (785) 341-8397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829002027 NC Practitioner - Registered Dietitian Or Nutrition Professional 3274072673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutritious ThoughtsGroup PAC ID 1658638051, 12 clinicians

Practice addresses (Care Compare)

341 Kimayne Dr
Suite 104
Cary, NC 27511-4490
Phone (828) 333-0096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nutritious Thoughts Dietitian, Registered CurrentSince Aug 1, 2024 Accepting new patients

Locations

31 College Pl
Ste 200
Asheville, NC 28801
Phone (828) 279-7091

341 Kilmayne Dr
Ste 104
Cary, NC 27511

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.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1215715909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WOODLINE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038690",
            "telephone_number": "785-341-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WOODLINE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038690",
            "telephone_number": "785-341-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANBECK",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.