Nutrition Pair, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L001745 Issued in NC

Legal business name

NUTRITION PAIR, LLC

Practice address

1001 Lessie LN
Elizabeth City, NC 27909-4583

Phone

(252) 335-9355

Fax

(252) 338-4190

NPI assigned

Aug 3, 2006

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Angela Marie Lamberson, RDNPI 1003838491

Title

Owner/Manager

Phone

(252) 335-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Hartnett Lamberson, RD, CDE

  • Registered Dietitian
  • Elizabeth City, NC
  • NPI 1497979884

  Dietitian, Registered

  Medicare reassignment NPD
• Angela Marie Lamberson, RD

  • Registered Dietitian
  • Elizabeth City, NC
  • NPI 1003838491

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1316955719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099343",
            "telephone_number": "252-335-9355",
            "fax_number": "844-965-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LESSIE LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094583",
            "telephone_number": "252-335-9355",
            "fax_number": "252-338-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION PAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "LAMBERSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "252-335-9355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.