Active NPI
Candice Terlaje, R.D.
- Registered Dietitian
- Henderson, NC
National Provider Identifier
1235322579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002329
- Practice address
- 566 Ruin Creek Rd
Henderson, NC 27536-2927 - Phone
- (252) 436-1549
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002329 | NC | Primary |
| Nutrition Education Nutritionist | 133NN1002X | L002329 | NC |
Addresses
Primary practice location
566 Ruin Creek Rd
Henderson, NC 27536-2927
Mailing address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002329 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1235322579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362927",
"telephone_number": "252-436-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERLAJE",
"first_name": "CANDICE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002329",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NC",
"license": "L002329",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
- Kevin Taylor
- Tremanisha Rachell Taylor, MSW, LCSWA
- Vanness Henderson Taylor, LCSW-A
- Bonie Teal
- Karen Marie Teller, MS, CCC-SLP
- The Clinical Evaluation and Resource Center, PLLC
- Therapeutic Landscapes Home Care, LLC
- Therapeutic Landscapes, Inc.
- Therapeutic Specialties of North Carolina, PLLC
- Ericka Jasmine Thomas, LPCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.