Individual provider Active NPI

Jennifer Neal Tebb, RDN, LDN

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1356740773
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004147 Issued in NC
Practice address
3612 Shannon Rd Ste 103
Durham, NC 27707-6333
Phone
(919) 870-1001
Fax
(919) 516-0673
NPI assigned
Aug 21, 2014
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004147 NC Primary

Addresses

Primary practice location

3612 Shannon Rd Ste 103
Durham, NC 27707-6333

Mailing address

4705 University Dr BLDG 700
Durham, NC 27707-3489
Phone (919) 237-1337

Other names 1

  • Nealie Tebb Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427000694 NC Practitioner - Registered Dietitian Or Nutrition Professional 2365839016 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L004147NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Dec 1, 2025 Accepting new patients
Healthy Diets, LLC Dietitian, Registered CurrentSince Apr 19, 2022 Accepting new patients

Locations

3612 Shannon Rd
Ste 103
Durham, NC 27707
Phone (919) 870-1001

4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337

911 Broad St
Durham, NC 27705
Phone (303) 594-4983

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

8300 Health Park
Ste 325
Raleigh, NC 27615
Phone (919) 870-1001

8506 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 234-7247

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1356740773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 UNIVERSITY DR BLDG 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073489",
            "telephone_number": "919-237-1337",
            "fax_number": "866-538-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 SHANNON RD STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076333",
            "telephone_number": "919-870-1001",
            "fax_number": "919-516-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBB",
        "first_name": "JENNIFER",
        "middle_name": "NEAL",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEALIE",
            "last_name": "TEBB",
            "credential": "RDN, LDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.