Active NPI
Carleigh Simmons Wetmore, RD, LDN, CDE
- Registered Dietitian
- Albemarle, NC
National Provider Identifier
1326446535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004519
- Practice address
- 301 Yadkin St
Albemarle, NC 28001-3441 - Phone
- (980) 323-4722
- Fax
- (980) 323-5162
- NPI assigned
- Dec 22, 2014
- Last updated
- Oct 30, 2019
- 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 | L004519 | NC | Primary |
Addresses
Primary practice location
301 Yadkin St
Albemarle, NC 28001-3441
Mailing address
301 Yadkin St
Albemarle, NC 28001-3441
Phone (980) 323-4722
Other practice location 1
208 Foust St
Ste D
Asheboro, NC 27203-5499
Phone (336) 625-9400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004519 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1326446535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 YADKIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013441",
"telephone_number": "980-323-4722",
"fax_number": "980-323-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 YADKIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013441",
"telephone_number": "980-323-4722",
"fax_number": "980-323-5162"
}
],
"practiceLocations": [
{
"address_1": "208 Foust St",
"address_2": "Ste D",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272035499",
"country_code": "US",
"telephone_number": "336-625-9400",
"fax_number": "336-625-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETMORE",
"first_name": "CARLEIGH",
"middle_name": "SIMMONS",
"credential": "RD, LDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.