Active NPI
Candace R Morris
- Registered Dietitian
- Goldsboro, NC
National Provider Identifier
1285161471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86043371
- Practice address
- 301 N Herman St Ste CC
Goldsboro, NC 27530-2971 - Phone
- (919) 731-1280
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 86043371 | NC | Primary |
Addresses
Primary practice location
301 N Herman St Ste CC
Goldsboro, NC 27530-2971
Mailing address
301 N Herman St Box CC
Apt F3
Goldsboro, NC 27530
Phone (919) 731-1280
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 |
|---|---|---|---|
| 86043371 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285161471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N HERMAN ST BOX CC",
"address_2": "APT F3",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "27530",
"telephone_number": "919-731-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N HERMAN ST STE CC",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275302971",
"telephone_number": "919-731-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CANDACE",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "86043371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.