Individual provider Active NPI

Sheryl Beauregard, MS, RD, LDN

  • Registered Dietitian
  • Greensboro, NC
National Provider Identifier
1376834705
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003129 Issued in NC
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

Updated by the provider on Apr 19, 2011

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 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

LicenseStateTypeSpecialty
L003129NCMDRegistered 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.

Verify at the official NPI Registry.