Active NPI
Kevin Manbeck, MS, RDN, LDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1215715909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutritious Thoughts | Dietitian, Registered | Current | 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.