Active NPI
Terri Lea Mozingo, RD, LDN
- Registered Dietitian
- Wilmington, NC
National Provider Identifier
1295927572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002681
- Practice address
- 3240 Burnt Mill Dr
Suite 1
Wilmington, NC 28403-2576 - Phone
- (910) 790-9500
- Fax
- (910) 796-8111
- NPI assigned
- Aug 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002681 | NC | Primary |
Addresses
Primary practice location
3240 Burnt Mill Dr
Suite 1
Wilmington, NC 28403-2576
Mailing address
3240 Burnt Mill Dr
Suite 1
Wilmington, NC 28403-2576
Phone (910) 790-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161F3 | Other | ND | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 21, 2012 through Aug 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002681 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrysalis Center for Counseling and Eating Disorder Treatment PLLC | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Psychologist
- Wilmington, NC
- NPI 1891865218
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1295927572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 BURNT MILL DR",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032576",
"telephone_number": "910-790-9500",
"fax_number": "910-796-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 BURNT MILL DR",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032576",
"telephone_number": "910-790-9500",
"fax_number": "910-796-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZINGO",
"first_name": "TERRI",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "161F3",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.