Active NPI
Sheryl Beauregard, MS, RD, LDN
- Registered Dietitian
- Greensboro, NC
National Provider Identifier
1376834705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003129
- Practice address
- 1 Sam Snead Dr
Greensboro, NC 27410-6087 - Phone
- (336) 202-2356
- Fax
- (336) 299-1784
- NPI assigned
- Apr 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | L003129 | NC | Primary |
Addresses
Primary practice location
1 Sam Snead Dr
Greensboro, NC 27410-6087
Mailing address
5912 Firewood TRL
Greensboro, NC 27410-9269
Phone (336) 202-2356
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L003129 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1376834705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 FIREWOOD TRL",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109269",
"telephone_number": "336-202-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAM SNEAD DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274106087",
"telephone_number": "336-202-2356",
"fax_number": "336-299-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUREGARD",
"first_name": "SHERYL",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.