Active NPI
Lauren Worsham
- Registered Dietitian
- Rocky Mount, NC
National Provider Identifier
1346492923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 926775
- Practice address
- 141 Storage Rd
Rocky Mount, NC 27804-8561 - Phone
- (252) 443-7416
- NPI assigned
- Oct 15, 2008
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | L002339 | NC | |
| Registered Dietitian | 133V00000X | 926775 | NC | Primary |
Addresses
Primary practice location
141 Storage Rd
Rocky Mount, NC 27804-8561
Mailing address
1329 N Brightleaf Blvd
Smithfield, NC 27577-7262
Phone (919) 989-7416
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 |
|---|---|---|---|
| L002339 | NC | MD | Nutritionist |
| 926775 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1346492923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 N BRIGHTLEAF BLVD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275777262",
"telephone_number": "919-989-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 STORAGE RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048561",
"telephone_number": "252-443-7416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSHAM",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NC",
"license": "L002339",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "926775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.