Organization Active NPI

Nutrition Consultants, Inc.

  • Registered Dietitian
  • Fayetteville, NC
National Provider Identifier
1356799183
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L000620 Issued in NC
Legal business name
NUTRITION CONSULTANTS, INC.
Practice address
6866 Towbridge Rd
Fayetteville, NC 28306-2534
Phone
(910) 916-6855
Fax
(910) 425-2985
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Mrs. Karen E Gantt, RD, LDN
Title
President, Owner
Phone
(910) 916-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X L000620 NC Primary

Addresses

Primary practice location

6866 Towbridge Rd
Fayetteville, NC 28306-2534

Mailing address

6866 Towbridge Rd
Fayetteville, NC 28306-2534
Phone (910) 916-6855

Other identifiers 1

IdentifierTypeStateIssuer
1821050675OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1356799183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6866 TOWBRIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062534",
            "telephone_number": "910-916-6855",
            "fax_number": "910-425-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6866 TOWBRIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062534",
            "telephone_number": "910-916-6855",
            "fax_number": "910-425-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "GANTT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "910-916-6855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821050675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.